Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.84 / $85.11	Facility		$12.02	$28.84	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $15.14	Professional		$8.32	$10.00	$15.14
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 $6.31 / $6.31 / $10.00	Professional		$6.31	$6.31	$10.00
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 / $8.71 / $14.79	Professional		$7.24	$8.71	$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 / $11.75 / $12.30	Facility		$10.96	$11.75	$12.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $26.92	Professional		$10.96	$12.88	$26.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $10,000.00	Facility		$10.72	$18.62	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $10,000.00	Professional		$10.00	$18.20	$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 $5.37 / $7.76 / $13.49	Professional		$5.37	$7.76	$13.49