Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $42.66 / $117.49	Facility		$14.13	$42.66	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $21.88	Professional		$14.13	$15.14	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $77.62	Facility		$19.50	$19.50	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $15.14	Professional		$9.55	$9.55	$15.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $138.04	Professional		$57.54	$100.00	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $89.13	Facility		$19.95	$50.12	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $22.39	Professional		$10.96	$13.18	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $28.84	Professional		$19.50	$23.44	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $33.11 / $38.02	Professional		$16.22	$33.11	$38.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $31.62	Facility		$16.60	$21.38	$31.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $40.74	Professional		$34.67	$34.67	$40.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $29.51 / $10,000.00	Facility		$15.14	$29.51	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $10,000.00	Professional		$15.14	$29.51	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.50 / $23.44	Facility		$8.13	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.75 / $20.42	Professional		$8.13	$11.75	$20.42