Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $38.02 / $93.33	Facility		$10.96	$38.02	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $28.18	Professional		$10.96	$12.02	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $61.66	Facility		$15.49	$15.49	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $12.02	Professional		$7.59	$7.59	$12.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $109.65	Professional		$46.77	$79.43	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $69.18	Facility		$15.85	$40.74	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $17.78	Professional		$8.71	$10.47	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $22.91	Professional		$15.49	$18.62	$22.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Professional		$25.70	$25.70	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.13 / $28.84	Facility		$13.18	$14.13	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $32.36	Professional		$12.30	$12.30	$32.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.88 / $10,000.00	Facility		$13.80	$21.88	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.88 / $10,000.00	Professional		$13.80	$21.88	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.88 / $18.62	Facility		$6.46	$12.88	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $21.88	Professional		$9.33	$12.88	$21.88