Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $35.48 / $95.50	Facility		$10.96	$35.48	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $18.20	Professional		$10.96	$12.02	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $64.57	Facility		$15.85	$15.85	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $12.30	Professional		$7.94	$7.94	$12.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $112.20	Professional		$47.86	$75.86	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $40.74 / $72.44	Facility		$16.22	$40.74	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $18.20	Professional		$8.91	$10.72	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.44	Professional		$15.85	$19.05	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.92 / $30.90	Professional		$13.18	$26.92	$30.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.38 / $17.38	Facility		$13.49	$17.38	$17.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $33.88	Professional		$13.49	$17.38	$33.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $22.39 / $10,000.00	Facility		$12.30	$22.39	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $10,000.00	Professional		$12.30	$22.39	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $15.85 / $19.05	Facility		$6.76	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $16.60	Professional		$6.76	$9.55	$16.60