Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $39.81 / $251.19	Facility		$12.88	$39.81	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $22.39	Professional		$9.33	$10.96	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $57.54	Facility		$14.45	$14.45	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $10.96	Professional		$7.08	$7.08	$10.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $102.33	Professional		$42.66	$72.44	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $37.15 / $64.57	Facility		$14.79	$37.15	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.55 / $16.60	Professional		$8.13	$9.55	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $21.38	Professional		$14.45	$17.38	$21.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $28.18	Professional		$12.02	$23.99	$28.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $13.18 / $16.98	Facility		$12.30	$13.18	$16.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $30.20	Professional		$14.45	$16.98	$30.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $21.88 / $10,000.00	Facility		$11.22	$21.88	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.88 / $10,000.00	Professional		$11.22	$21.88	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.45 / $17.38	Facility		$6.03	$14.45	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $15.14	Professional		$6.03	$8.71	$15.14