Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $56.23 / $316.23	Facility		$19.95	$56.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $23.99	Professional		$15.14	$17.78	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $81.28	Facility		$20.42	$20.42	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.49	Professional		$10.00	$10.00	$15.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $144.54	Professional		$60.26	$95.50	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $52.48 / $91.20	Facility		$20.89	$52.48	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $23.44	Professional		$11.48	$13.49	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $30.20	Professional		$20.42	$24.55	$30.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.88 / $39.81	Professional		$15.85	$33.88	$39.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.78 / $20.89	Facility		$17.38	$17.78	$20.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $42.66	Professional		$19.05	$20.89	$42.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $10,000.00	Facility		$18.20	$29.51	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $10,000.00	Professional		$18.20	$29.51	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $20.42 / $24.55	Facility		$8.51	$20.42	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $21.38	Professional		$8.51	$12.02	$21.38