Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.02 / $64.57	Facility		$12.02	$38.02	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.05	Professional		$10.96	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $69.18	Facility		$17.38	$17.38	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $11.48	Professional		$6.92	$6.92	$11.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $74.13	Professional		$30.90	$48.98	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.20 / $79.43	Facility		$17.78	$30.20	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $19.95	Professional		$6.76	$8.71	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $25.70	Professional		$17.38	$20.89	$25.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.38 / $20.42	Professional		$8.71	$17.38	$20.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $12.59 / $14.79	Facility		$9.33	$12.59	$14.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $28.18 / $36.31	Professional		$9.33	$28.18	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.42 / $10,000.00	Facility		$12.02	$20.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $10,000.00	Professional		$12.02	$20.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $17.38 / $20.89	Facility		$7.24	$17.38	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $10.96	Professional		$6.17	$7.76	$10.96