Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $57.54 / $154.88	Facility		$19.05	$57.54	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $34.67	Professional		$19.05	$21.88	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $104.71	Facility		$26.30	$26.30	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $22.91	Professional		$12.88	$12.88	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $602.56 / $912.01	Professional		$22.39	$602.56	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $66.07 / $117.49	Facility		$40.74	$66.07	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.50 / $53.70	Professional		$13.18	$19.50	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $38.90	Professional		$26.30	$30.90	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $44.67 / $69.18	Facility		$22.39	$44.67	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $54.95	Professional		$20.89	$20.89	$54.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $37.15 / $10,000.00	Facility		$24.55	$37.15	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $10,000.00	Professional		$25.12	$36.31	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.30 / $31.62	Facility		$10.96	$26.30	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $36.31	Professional		$10.96	$15.49	$36.31