Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $29.51 / $107.15	Facility		$11.22	$29.51	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $17.78	Professional		$7.94	$8.91	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $47.86	Facility		$12.02	$12.02	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $9.12	Professional		$5.89	$5.89	$9.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $79.43	Professional		$33.11	$56.23	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.90 / $54.95	Facility		$12.30	$30.90	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.94 / $13.49	Professional		$6.76	$7.94	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $17.78	Professional		$12.02	$14.45	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $23.44	Professional		$19.95	$19.95	$23.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.02 / $17.78	Facility		$10.72	$12.02	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $25.12	Professional		$10.00	$10.00	$25.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $16.60 / $10,000.00	Facility		$9.33	$16.60	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.60 / $10,000.00	Professional		$9.33	$16.60	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $12.02 / $14.45	Facility		$5.01	$12.02	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.76 / $11.48	Professional		$5.01	$6.76	$11.48