Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $66.07 / $158.49	Facility		$16.98	$66.07	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $17.78	Professional		$12.88	$15.85	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $72.44	Facility		$17.78	$17.78	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.80	Professional		$8.91	$8.91	$13.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $128.82	Professional		$53.70	$93.33	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $81.28	Facility		$18.20	$45.71	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $20.42	Professional		$10.00	$12.02	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $26.92	Professional		$17.78	$21.38	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $20.42	Professional		$17.38	$17.38	$20.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.22 / $26.92	Facility		$15.14	$16.22	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $38.02	Professional		$17.38	$17.38	$38.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.44 / $10,000.00	Facility		$14.13	$23.44	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.44 / $10,000.00	Professional		$14.13	$23.44	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $17.78 / $21.38	Facility		$7.59	$17.78	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $18.62	Professional		$7.59	$10.72	$18.62