Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $52.50 / $89.50	Facility		$18.75	$52.50	$89.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $20.00 / $21.25	Professional		$18.75	$20.00	$21.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $121.75	Facility		$25.00	$25.00	$121.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.95	Professional		$10.00	$10.00	$12.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $44.81 / $67.08	Professional		$29.32	$44.81	$67.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.85 / $112.82	Facility		$17.38	$38.85	$112.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $13.15 / $25.88	Professional		$7.60	$13.15	$25.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.25 / $37.00	Professional		$30.00	$31.25	$37.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $20.00 / $30.00	Facility		$12.50	$20.00	$30.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $15.00 / $52.50	Professional		$13.60	$15.00	$52.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.00 / $4,071.00	Facility		$13.80	$25.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $25.00 / $4,071.00	Professional		$13.83	$25.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $15.00 / $25.00	Professional		$8.30	$15.00	$25.00