Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $64.57 / $125.89	Facility		$20.89	$64.57	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $33.11	Professional		$18.20	$22.91	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $117.49	Facility		$29.51	$29.51	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $20.42	Professional		$11.75	$11.75	$20.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $97.72 / $147.91	Professional		$25.12	$97.72	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $60.26 / $131.83	Facility		$36.31	$60.26	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $43.65	Professional		$13.80	$17.78	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $43.65	Professional		$29.51	$34.67	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $52.48	Facility		$23.44	$37.15	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $61.66	Professional		$19.05	$19.05	$61.66
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 / $34.67 / $10,000.00	Professional		$22.39	$34.67	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $34.67	Facility		$17.38	$29.51	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $33.88	Professional		$12.30	$14.45	$33.88