Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $42.66 / $102.33	Facility		$15.14	$42.66	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $87.10	Professional		$8.91	$15.85	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $81.28	Facility		$20.42	$20.42	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $13.80	Professional		$8.13	$8.13	$13.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $63.10	Professional		$26.92	$45.71	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $32.36 / $91.20	Facility		$18.20	$32.36	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.33 / $23.44	Professional		$5.89	$9.33	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $30.20	Professional		$20.42	$24.55	$30.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $15.14 / $17.78	Professional		$7.08	$15.14	$17.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $20.42	Facility		$14.79	$14.79	$20.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $42.66	Professional		$28.18	$28.18	$42.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $24.55 / $10,000.00	Facility		$13.18	$24.55	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $24.55 / $10,000.00	Professional		$13.18	$24.55	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $20.42 / $24.55	Facility		$7.59	$20.42	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.51 / $12.30	Professional		$5.25	$8.51	$12.30