Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $40.74 / $95.50	Facility		$14.79	$40.74	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $15.85	Professional		$10.96	$13.80	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $63.10	Facility		$15.85	$15.85	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $12.02	Professional		$7.76	$7.76	$12.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $112.20	Professional		$46.77	$74.13	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $38.90 / $70.79	Facility		$16.22	$38.90	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $18.20	Professional		$8.91	$10.72	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.44	Professional		$15.85	$19.05	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $26.30 / $30.90	Professional		$3.89	$26.30	$30.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.80 / $14.79	Facility		$13.49	$13.80	$14.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $13.49 / $33.11	Professional		$4.37	$13.49	$33.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.39 / $10,000.00	Facility		$13.18	$22.39	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $10,000.00	Professional		$12.30	$22.39	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $15.85 / $19.05	Facility		$6.61	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.55 / $16.60	Professional		$6.61	$9.55	$16.60