Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $79.43 / $223.87	Facility		$17.38	$79.43	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $16.60	Professional		$10.00	$12.02	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $54.95	Facility		$13.80	$13.80	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $10.47	Professional		$6.76	$6.76	$10.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $97.72	Professional		$40.74	$64.57	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $36.31 / $61.66	Facility		$14.13	$36.31	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $15.85	Professional		$7.76	$9.12	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $20.42	Professional		$13.80	$16.60	$20.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $26.92	Professional		$11.48	$22.91	$26.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.02 / $14.13	Facility		$11.75	$12.02	$14.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $28.84	Professional		$14.13	$14.13	$28.84
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 / $23.44 / $10,000.00	Professional		$12.30	$23.44	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $13.80 / $16.60	Facility		$5.75	$13.80	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $14.45	Professional		$5.75	$8.32	$14.45