Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $89.13	Facility		$18.20	$51.29	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $28.84	Professional		$15.85	$18.20	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $95.50	Facility		$23.99	$23.99	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $16.22	Professional		$9.55	$9.55	$16.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $123.03	Professional		$52.48	$89.13	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $46.77 / $107.15	Facility		$24.55	$46.77	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $27.54	Professional		$10.96	$13.49	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $35.48	Professional		$23.99	$28.84	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $29.51 / $34.67	Professional		$14.79	$29.51	$34.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $28.84	Facility		$17.38	$17.38	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $50.12	Professional		$16.98	$16.98	$50.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.84 / $10,000.00	Facility		$16.22	$28.84	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $10,000.00	Professional		$16.22	$28.84	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $23.99 / $28.84	Facility		$10.00	$23.99	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.72 / $18.62	Professional		$10.00	$10.72	$18.62