Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $87.10 / $186.21	Facility		$15.49	$87.10	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $14.45	Professional		$8.91	$10.72	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $47.86	Facility		$12.02	$12.02	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $9.33	Professional		$5.89	$5.89	$9.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $85.11	Professional		$35.48	$61.66	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $31.62 / $54.95	Facility		$12.30	$31.62	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $13.49	Professional		$6.76	$8.13	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $17.78	Professional		$12.02	$14.45	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.42 / $23.44	Professional		$10.00	$20.42	$23.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.96 / $14.13	Facility		$10.23	$10.96	$14.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $25.12	Professional		$12.02	$14.13	$25.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.38 / $10,000.00	Facility		$10.96	$21.38	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.38 / $10,000.00	Professional		$10.96	$21.38	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $12.02 / $14.45	Facility		$5.01	$12.02	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $12.59	Professional		$5.01	$7.24	$12.59