Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $35.48 / $117.49	Facility		$15.85	$35.48	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $24.55	Professional		$8.91	$11.22	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $51.29	Facility		$12.88	$12.88	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.76 / $9.77	Professional		$6.61	$7.76	$9.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $91.20	Professional		$38.02	$60.26	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $32.36 / $57.54	Facility		$13.18	$32.36	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $14.79	Professional		$7.24	$9.55	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $19.05	Professional		$12.88	$15.49	$19.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $25.12	Professional		$10.72	$21.38	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.22 / $12.88	Facility		$10.96	$11.22	$12.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.96 / $26.92	Professional		$7.24	$10.96	$26.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.78 / $10,000.00	Facility		$11.48	$17.78	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $10,000.00	Professional		$11.48	$17.78	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $12.88 / $15.49	Facility		$5.37	$12.88	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $17.78	Professional		$7.76	$10.72	$17.78