Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $50.12 / $117.49	Facility		$16.98	$50.12	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $26.92	Professional		$15.14	$18.20	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $91.20	Facility		$22.91	$22.91	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $17.38	Professional		$10.00	$10.00	$17.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $93.33 / $141.25	Professional		$19.50	$93.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $102.33	Facility		$34.67	$51.29	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.22 / $41.69	Professional		$11.22	$16.22	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $33.88	Professional		$22.91	$26.92	$33.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $35.48 / $52.48	Facility		$19.50	$35.48	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $47.86	Professional		$16.22	$16.22	$47.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.20 / $10,000.00	Facility		$20.89	$30.20	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $10,000.00	Professional		$20.89	$30.90	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $27.54	Facility		$16.98	$22.91	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $30.90	Professional		$9.55	$12.30	$30.90