Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $41.69 / $114.82	Facility		$14.13	$41.69	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $20.89	Professional		$14.13	$15.14	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $75.86	Facility		$19.05	$19.05	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $14.45	Professional		$9.33	$9.33	$14.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $134.90	Professional		$56.23	$89.13	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $48.98 / $87.10	Facility		$19.50	$48.98	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $21.88	Professional		$10.72	$12.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $28.18	Professional		$19.05	$22.91	$28.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $37.15	Professional		$15.85	$31.62	$37.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $17.78	Facility		$10.00	$10.00	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $39.81 / $64.57	Professional		$16.98	$39.81	$64.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $10,000.00	Facility		$15.85	$26.92	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $10,000.00	Professional		$14.79	$26.92	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.05 / $22.91	Facility		$7.94	$19.05	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.48 / $19.95	Professional		$7.94	$11.48	$19.95