Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $24.55 / $85.11	Facility		$10.96	$24.55	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $14.13	Professional		$8.91	$10.00	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $52.48	Facility		$12.88	$12.88	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $9.55	Professional		$6.46	$6.46	$9.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $48.98	Professional		$20.89	$33.11	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $58.88	Facility		$13.18	$28.18	$58.88
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 $4.79 / $21.88 / $25.12	Professional		$4.79	$21.88	$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 $11.48 / $27.54 / $69.18	Professional		$11.48	$27.54	$69.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $17.38 / $10,000.00	Facility		$9.12	$17.38	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.38 / $10,000.00	Professional		$9.12	$17.38	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $12.88 / $15.49	Facility		$5.50	$12.88	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $10.72	Professional		$4.07	$5.75	$10.72