Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $117.49	Facility		$19.95	$52.48	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $32.36	Professional		$16.98	$20.89	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $107.15	Facility		$26.92	$26.92	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $19.05	Professional		$10.72	$10.72	$19.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $93.33 / $141.25	Professional		$22.91	$93.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $123.03	Facility		$34.67	$52.48	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $42.66	Professional		$13.18	$16.60	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $39.81	Professional		$26.92	$32.36	$39.81
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 $22.91 / $36.31 / $57.54	Facility		$22.91	$36.31	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $56.23	Professional		$17.38	$17.38	$56.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $31.62 / $10,000.00	Facility		$22.39	$31.62	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $10,000.00	Professional		$22.39	$31.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.92 / $32.36	Facility		$16.98	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $32.36	Professional		$11.22	$14.13	$32.36