Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $104.71 / $776.25	Facility		$19.05	$104.71	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $309.03	Professional		$10.96	$13.49	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $60.26	Facility		$15.14	$15.14	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $11.48	Professional		$7.41	$7.41	$11.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $104.71	Professional		$44.67	$70.79	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.90 / $67.61	Facility		$15.14	$38.90	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $16.98	Professional		$8.51	$10.23	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $22.39	Professional		$15.14	$17.78	$22.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.12 / $29.51	Professional		$12.30	$25.12	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.18 / $15.49	Facility		$12.88	$13.18	$15.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $31.62	Professional		$10.72	$15.49	$31.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.44 / $10,000.00	Facility		$13.18	$23.44	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.44 / $10,000.00	Professional		$13.18	$23.44	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $15.14 / $17.78	Facility		$6.31	$15.14	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $15.85	Professional		$6.31	$8.91	$15.85