Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $81.28 / $218.78	Facility		$21.38	$81.28	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $16.98	Professional		$12.02	$14.79	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $67.61	Facility		$16.98	$16.98	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $12.88	Professional		$8.32	$8.32	$12.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $117.49	Professional		$50.12	$85.11	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.81 / $75.86	Facility		$16.98	$39.81	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.22 / $19.50	Professional		$9.55	$11.22	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $25.12	Professional		$16.98	$20.42	$25.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $33.11	Professional		$14.13	$28.18	$33.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.14 / $19.95	Facility		$14.45	$15.14	$19.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $19.95 / $35.48	Professional		$4.90	$19.95	$35.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $10,000.00	Facility		$15.14	$25.70	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $10,000.00	Professional		$15.14	$25.70	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.98 / $20.42	Facility		$7.08	$16.98	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $17.78	Professional		$7.08	$10.00	$17.78