Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $42.66 / $81.28	Facility		$14.13	$42.66	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $18.20	Professional		$12.88	$15.14	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $77.62	Facility		$19.50	$19.50	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $13.18	Professional		$7.76	$7.76	$13.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $97.72	Professional		$40.74	$70.79	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $89.13	Facility		$19.95	$38.02	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.23 / $20.42	Professional		$9.33	$10.23	$20.42
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 $22.91 / $22.91 / $26.92	Professional		$22.91	$22.91	$26.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.22 / $23.44	Facility		$14.13	$16.22	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $40.74	Professional		$12.59	$12.59	$40.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.44 / $10,000.00	Facility		$13.80	$23.44	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.44 / $10,000.00	Professional		$13.80	$23.44	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.59 / $23.44	Facility		$8.13	$12.59	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $14.45	Professional		$8.13	$8.71	$14.45