Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $27.54 / $141.25	Facility		$8.91	$27.54	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $14.13	Professional		$8.91	$8.91	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $50.12	Facility		$12.59	$12.59	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $9.55	Professional		$6.17	$6.17	$9.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $87.10	Professional		$37.15	$58.88	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $56.23	Facility		$12.59	$31.62	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.32 / $14.45	Professional		$7.08	$8.32	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $18.62	Professional		$12.59	$14.79	$18.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.89 / $24.55	Professional		$10.23	$20.89	$24.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.96 / $12.88	Facility		$10.47	$10.96	$12.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $26.30	Professional		$12.88	$20.89	$26.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.22 / $10,000.00	Facility		$9.77	$16.22	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.22 / $10,000.00	Professional		$9.77	$16.22	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.59 / $14.79	Facility		$5.25	$12.59	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $13.18	Professional		$5.25	$7.41	$13.18