Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $38.90 / $169.82	Facility		$14.13	$38.90	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.95	Professional		$10.00	$12.88	$19.95
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 $7.08 / $7.08 / $11.75	Professional		$7.08	$7.08	$11.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $67.61	Professional		$28.18	$44.67	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.90 / $79.43	Facility		$17.78	$30.90	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $20.42	Professional		$6.31	$7.94	$20.42
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 $7.94 / $16.22 / $18.62	Professional		$7.94	$16.22	$18.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.59 / $14.79	Facility		$8.51	$12.59	$14.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.51 / $36.31	Professional		$5.01	$8.51	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.89 / $10,000.00	Facility		$12.30	$20.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $10,000.00	Professional		$12.30	$20.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $17.38 / $20.89	Facility		$7.41	$17.38	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.76 / $10.47	Professional		$5.62	$7.76	$10.47