Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $34.67 / $138.04	Facility		$15.49	$34.67	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $16.22	Professional		$8.91	$10.00	$16.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $52.48	Facility		$13.18	$13.18	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $10.23	Professional		$6.61	$6.61	$10.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $93.33	Professional		$38.90	$63.10	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $35.48 / $58.88	Facility		$13.49	$35.48	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.91 / $15.14	Professional		$7.41	$8.91	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $19.50	Professional		$13.18	$15.85	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.39 / $25.70	Professional		$10.96	$22.39	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.02 / $12.59	Facility		$11.22	$12.02	$12.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $27.54	Professional		$11.75	$13.18	$27.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $21.38 / $10,000.00	Facility		$11.75	$21.38	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $22.39 / $10,000.00	Professional		$11.75	$22.39	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $13.18 / $15.85	Facility		$5.62	$13.18	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $13.80	Professional		$5.62	$7.94	$13.80