Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $74.13 / $158.49	Facility		$12.02	$74.13	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.08 / $16.98	Professional		$5.62	$7.08	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $34.67	Facility		$8.71	$8.71	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.13 / $6.61	Professional		$4.47	$5.13	$6.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $44.67	Professional		$18.62	$29.51	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $16.60 / $38.90	Facility		$8.71	$16.60	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.61 / $12.88	Professional		$3.89	$6.61	$12.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.23 / $12.88	Professional		$8.71	$10.23	$12.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.72 / $12.30	Professional		$5.25	$10.72	$12.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.31 / $7.24	Facility		$5.75	$6.31	$7.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $12.30 / $18.20	Professional		$5.75	$12.30	$18.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $11.22 / $10,000.00	Facility		$6.31	$11.22	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $11.22 / $10,000.00	Professional		$6.31	$11.22	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $8.71 / $10.23	Facility		$3.63	$8.71	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.50 / $8.91	Professional		$4.27	$5.50	$8.91