Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $47.86 / $158.49	Facility		$15.14	$47.86	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $22.91	Professional		$15.14	$15.85	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $81.28	Facility		$20.42	$20.42	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.85	Professional		$10.00	$10.00	$15.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $144.54	Professional		$60.26	$95.50	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $50.12 / $91.20	Facility		$20.89	$50.12	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $23.44	Professional		$11.48	$13.49	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $30.20	Professional		$20.42	$24.55	$30.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.88 / $39.81	Professional		$16.98	$33.88	$39.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.62 / $19.50	Facility		$17.38	$18.62	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $42.66	Professional		$18.20	$26.92	$42.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.11 / $10,000.00	Facility		$18.20	$33.11	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $10,000.00	Professional		$18.20	$33.88	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $20.42 / $24.55	Facility		$8.51	$20.42	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $21.38	Professional		$8.51	$12.30	$21.38