Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $39.81 / $190.55	Facility		$14.13	$39.81	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $16.98	Professional		$10.96	$12.88	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $61.66	Facility		$15.49	$15.49	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $12.02	Professional		$7.76	$7.76	$12.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $109.65	Professional		$45.71	$74.13	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.90 / $70.79	Facility		$15.85	$38.90	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $17.78	Professional		$8.71	$10.47	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $22.91	Professional		$15.49	$18.62	$22.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $30.20	Professional		$26.30	$26.30	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.49 / $16.22	Facility		$13.18	$13.49	$16.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $33.11 / $35.48	Professional		$16.22	$33.11	$35.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.39 / $10,000.00	Facility		$12.02	$22.39	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $10,000.00	Professional		$12.02	$21.88	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $15.49 / $18.62	Facility		$6.61	$15.49	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.33 / $16.22	Professional		$6.61	$9.33	$16.22