Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $70.79 / $169.82	Facility		$17.78	$70.79	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $23.44	Professional		$8.91	$11.48	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $51.29	Facility		$12.88	$12.88	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $10.00	Professional		$6.31	$6.31	$10.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $91.20	Professional		$38.02	$66.07	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $32.36 / $57.54	Facility		$13.18	$32.36	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $14.79	Professional		$7.24	$8.71	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $19.05	Professional		$12.88	$15.49	$19.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $21.38 / $25.12	Professional		$9.33	$21.38	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.75 / $15.14	Facility		$10.96	$11.75	$15.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $15.14 / $26.92	Professional		$4.90	$15.14	$26.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.95 / $10,000.00	Facility		$11.48	$19.95	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.95 / $10,000.00	Professional		$11.48	$19.95	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $12.88 / $15.49	Facility		$5.37	$12.88	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $13.49	Professional		$5.37	$7.76	$13.49