Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $30.20 / $83.18	Facility		$10.00	$30.20	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $15.14	Professional		$10.00	$10.96	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $54.95	Facility		$13.80	$13.80	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $10.72	Professional		$6.92	$6.92	$10.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $97.72	Professional		$40.74	$64.57	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $36.31 / $61.66	Facility		$14.13	$36.31	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.33 / $16.22	Professional		$7.76	$9.33	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $20.42	Professional		$13.80	$16.60	$20.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.44 / $26.92	Professional		$11.48	$23.44	$26.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.59 / $13.18	Facility		$11.75	$12.59	$13.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $28.84	Professional		$12.02	$13.80	$28.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $20.89 / $10,000.00	Facility		$10.72	$20.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.89 / $10,000.00	Professional		$10.72	$20.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $13.80 / $16.60	Facility		$5.89	$13.80	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.32 / $14.45	Professional		$5.89	$8.32	$14.45