Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $44.67 / $120.23	Facility		$15.14	$44.67	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $22.91	Professional		$14.13	$15.85	$22.91
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 $10.00 / $10.00 / $15.49	Professional		$10.00	$10.00	$15.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $141.25	Professional		$60.26	$102.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $48.98 / $91.20	Facility		$20.42	$48.98	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $22.91	Professional		$11.48	$13.49	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $30.20	Professional		$20.42	$23.99	$30.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $39.81	Professional		$16.60	$33.88	$39.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.88 / $32.36	Facility		$16.98	$21.88	$32.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $42.66	Professional		$32.36	$32.36	$42.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.20 / $10,000.00	Facility		$17.78	$30.20	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $10,000.00	Professional		$17.78	$30.20	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $20.42 / $23.99	Facility		$8.51	$20.42	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $21.38	Professional		$8.51	$12.02	$21.38