Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $64.57 / $177.83	Facility		$21.88	$64.57	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $33.88	Professional		$21.88	$22.91	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $117.49	Facility		$29.51	$29.51	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $22.91	Professional		$14.79	$14.79	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $208.93	Professional		$87.10	$151.36	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $74.13 / $134.90	Facility		$30.20	$74.13	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $34.67	Professional		$16.60	$19.95	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $43.65	Professional		$29.51	$35.48	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $50.12 / $57.54	Professional		$24.55	$50.12	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $28.18	Facility		$15.85	$15.85	$28.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $61.66	Professional		$25.12	$48.98	$61.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $46.77 / $10,000.00	Facility		$26.30	$46.77	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $10,000.00	Professional		$26.30	$46.77	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.51 / $35.48	Facility		$12.59	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $30.90	Professional		$12.59	$17.78	$30.90