Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $42.66 / $117.49	Facility		$14.13	$42.66	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $25.70	Professional		$14.13	$15.14	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $123.03	Facility		$77.62	$102.33	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.14	Professional		$9.77	$9.77	$15.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $141.25	Professional		$58.88	$100.00	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $89.13	Facility		$19.95	$51.29	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $22.91	Professional		$10.96	$13.18	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $28.84	Professional		$19.50	$23.44	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $38.02	Professional		$33.11	$33.11	$38.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $28.84	Facility		$16.60	$21.38	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $40.74	Professional		$12.02	$12.02	$40.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.54 / $10,000.00	Facility		$17.38	$27.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $10,000.00	Professional		$17.38	$27.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.50 / $23.44	Facility		$9.77	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $20.42	Professional		$8.32	$11.75	$20.42