Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.98 / $16.98	Facility		$15.14	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.95	Professional		$10.00	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $22.91	Professional		$0.02	$0.02	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $37.15	Professional		$18.62	$23.44	$37.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.05 / $37.15	Facility		$13.49	$19.05	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.60 / $20.42	Professional		$14.45	$16.60	$20.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.11 / $10,000.00	Facility		$19.05	$33.11	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $10,000.00	Professional		$19.05	$33.11	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $28.18	Professional		$11.75	$15.14	$28.18