Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $38.02 / $91.20	Facility		$14.13	$38.02	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $16.98	Professional		$10.96	$12.02	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $61.66	Facility		$15.49	$15.49	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $12.02	Professional		$7.59	$7.59	$12.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $109.65	Professional		$45.71	$72.44	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $39.81 / $69.18	Facility		$15.85	$39.81	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $17.78	Professional		$8.71	$10.47	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $22.91	Professional		$15.49	$18.62	$22.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $30.20	Professional		$12.88	$25.70	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.49 / $14.79	Facility		$13.18	$13.49	$14.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.80 / $32.36	Professional		$13.18	$13.80	$32.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $22.91 / $10,000.00	Facility		$12.30	$22.91	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $10,000.00	Professional		$12.30	$22.91	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $15.49 / $18.62	Facility		$6.46	$15.49	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $16.22	Professional		$6.46	$9.12	$16.22