Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $117.49	Facility		$21.88	$66.07	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $36.31	Professional		$19.05	$23.99	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $120.23	Facility		$30.20	$30.20	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $21.38	Professional		$12.02	$12.02	$21.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $93.33 / $141.25	Professional		$25.70	$93.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $138.04	Facility		$34.67	$58.88	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $43.65	Professional		$13.49	$18.20	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $42.66	Professional		$30.20	$35.48	$42.66
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 $25.70 / $37.15 / $57.54	Facility		$25.70	$37.15	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $63.10	Professional		$19.50	$19.50	$63.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $34.67 / $10,000.00	Facility		$22.39	$34.67	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $10,000.00	Professional		$22.39	$35.48	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.20 / $36.31	Facility		$16.98	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $32.36	Professional		$11.75	$15.14	$32.36