Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $79.43 / $138.04	Facility		$15.14	$79.43	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $33.11	Professional		$12.88	$14.13	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $72.44	Facility		$18.20	$18.20	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $13.18	Professional		$7.94	$7.94	$13.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $112.20	Professional		$46.77	$81.28	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $40.74 / $81.28	Facility		$18.20	$40.74	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.55 / $18.62	Professional		$9.12	$9.55	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $26.92	Professional		$18.20	$21.88	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $30.90	Professional		$26.92	$26.92	$30.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $16.22 / $21.88	Facility		$15.49	$16.22	$21.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $38.02	Professional		$18.20	$18.20	$38.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.39 / $10,000.00	Facility		$13.18	$22.39	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.39 / $10,000.00	Professional		$13.18	$22.39	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.18 / $21.88	Facility		$7.59	$13.18	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.77 / $16.60	Professional		$7.59	$9.77	$16.60