Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $93.33 / $199.53	Facility		$17.38	$93.33	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $14.13	Professional		$8.91	$10.47	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $47.86	Facility		$12.02	$12.02	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $9.33	Professional		$6.03	$6.03	$9.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $85.11	Professional		$35.48	$57.54	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $31.62 / $54.95	Facility		$12.30	$31.62	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.33 / $17.78	Professional		$6.76	$9.33	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $17.78	Professional		$12.02	$14.45	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.42 / $23.44	Professional		$10.00	$20.42	$23.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.47 / $12.59	Facility		$10.23	$10.47	$12.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $12.59 / $25.12	Professional		$3.98	$12.59	$25.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $19.05 / $10,000.00	Facility		$10.72	$19.05	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.05 / $10,000.00	Professional		$10.72	$19.05	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $12.02 / $14.45	Facility		$5.13	$12.02	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $12.59	Professional		$5.13	$7.24	$12.59