Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $23.99 / $57.54	Facility		$7.08	$23.99	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $10.96	Professional		$7.08	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $38.90	Facility		$9.55	$9.55	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $7.41	Professional		$4.79	$4.79	$7.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $67.61	Professional		$28.84	$45.71	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $25.70 / $44.67	Facility		$9.77	$25.70	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.46 / $11.22	Professional		$5.37	$6.46	$11.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $14.45	Professional		$9.55	$11.48	$14.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.22 / $19.05	Professional		$7.94	$16.22	$19.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.51 / $9.12	Facility		$8.13	$8.51	$9.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.32 / $20.42	Professional		$7.94	$8.32	$20.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.14 / $10,000.00	Facility		$8.51	$15.14	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.14 / $10,000.00	Professional		$8.51	$15.14	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.55 / $11.48	Facility		$4.07	$9.55	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $10.23	Professional		$4.07	$5.75	$10.23