Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $58.88 / $165.96	Facility		$16.22	$58.88	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $21.38	Professional		$8.91	$11.75	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $52.48	Facility		$13.18	$13.18	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $10.00	Professional		$6.46	$6.46	$10.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $93.33	Professional		$38.90	$67.61	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $58.88	Facility		$13.49	$33.11	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.71 / $15.14	Professional		$7.41	$8.71	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $19.50	Professional		$13.18	$15.85	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.88 / $25.70	Professional		$10.96	$21.88	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.02 / $15.49	Facility		$11.22	$12.02	$15.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $27.54 / $93.33	Professional		$15.49	$27.54	$93.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.42 / $10,000.00	Facility		$11.75	$20.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.42 / $10,000.00	Professional		$11.75	$20.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $13.18 / $15.85	Facility		$5.50	$13.18	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.94 / $13.80	Professional		$5.50	$7.94	$13.80