Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $31.62 / $158.49	Facility		$10.96	$31.62	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $12.88	Professional		$7.08	$8.91	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $45.71	Facility		$11.48	$11.48	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $8.91	Professional		$5.75	$5.75	$8.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $53.70	Professional		$22.91	$36.31	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.30 / $52.48	Facility		$11.75	$26.30	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.91 / $17.38	Professional		$6.46	$8.91	$17.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $16.98	Professional		$11.48	$13.80	$16.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.50 / $22.39	Professional		$9.55	$19.50	$22.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.00 / $10.96	Facility		$9.77	$10.00	$10.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.99 / $23.99	Professional		$10.00	$23.99	$23.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $18.20 / $10,000.00	Facility		$10.23	$18.20	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.20 / $10,000.00	Professional		$10.23	$18.20	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.77 / $13.80	Facility		$4.07	$9.77	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.75 / $9.55	Professional		$4.47	$5.75	$9.55