Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $25.70 / $67.61	Facility		$8.91	$25.70	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $14.13	Professional		$8.91	$8.91	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $48.98	Facility		$12.30	$12.30	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $9.33	Professional		$5.50	$5.50	$9.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $77.62	Professional		$33.11	$52.48	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $56.23	Facility		$12.59	$28.18	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.41 / $14.13	Professional		$6.31	$7.41	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $18.20	Professional		$12.30	$14.79	$18.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $18.62 / $21.88	Professional		$9.33	$18.62	$21.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.18 / $13.18	Facility		$9.55	$13.18	$13.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.95 / $25.70	Professional		$9.55	$19.95	$25.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.22 / $10,000.00	Facility		$8.91	$16.22	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.22 / $10,000.00	Professional		$8.91	$16.22	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $12.30 / $14.79	Facility		$5.13	$12.30	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.76 / $11.48	Professional		$5.13	$6.76	$11.48