Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $42.66 / $114.82	Facility		$14.13	$42.66	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $21.88	Professional		$14.13	$15.14	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $77.62	Facility		$19.50	$19.50	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $14.79	Professional		$9.55	$9.55	$14.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $134.90	Professional		$57.54	$97.72	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $50.12 / $87.10	Facility		$19.50	$50.12	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $22.39	Professional		$10.96	$12.88	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $28.84	Professional		$19.50	$23.44	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $38.02	Professional		$16.22	$32.36	$38.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $17.38 / $22.91	Facility		$16.60	$17.38	$22.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $40.74	Professional		$18.62	$22.91	$40.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.20 / $10,000.00	Facility		$17.38	$30.20	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $10,000.00	Professional		$17.38	$30.20	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.50 / $23.44	Facility		$8.13	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $20.42	Professional		$8.13	$11.48	$20.42