Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $58.88 / $138.04	Facility		$25.70	$58.88	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $34.67	Professional		$19.95	$23.99	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $123.03	Facility		$30.90	$30.90	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $20.89	Professional		$12.30	$12.30	$20.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $162.18	Professional		$69.18	$109.65	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $60.26 / $138.04	Facility		$31.62	$60.26	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $35.48	Professional		$14.13	$17.78	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $45.71	Professional		$30.90	$37.15	$45.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.39 / $26.30	Facility		$20.42	$22.39	$26.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $20.42 / $64.57	Professional		$8.32	$20.42	$64.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $10,000.00	Facility		$23.44	$36.31	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $10,000.00	Professional		$22.91	$36.31	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $30.90 / $37.15	Facility		$12.88	$30.90	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $25.12	Professional		$12.88	$14.13	$25.12