Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $42.66 / $123.03	Facility		$8.91	$42.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.31 / $7.24	Professional		$5.01	$6.31	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $29.51	Facility		$7.24	$7.24	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.62	Professional		$3.63	$3.63	$5.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $51.29	Professional		$21.38	$34.67	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $18.62 / $32.36	Facility		$7.41	$18.62	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.90 / $8.71	Professional		$4.07	$4.90	$8.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $10.72	Professional		$7.24	$8.71	$10.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.30 / $14.13	Professional		$6.03	$12.30	$14.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.61 / $7.59	Facility		$6.17	$6.61	$7.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $15.49	Professional		$7.59	$10.96	$15.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.96 / $10,000.00	Facility		$6.46	$10.96	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.96 / $10,000.00	Professional		$6.46	$10.96	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $7.24 / $8.71	Facility		$3.09	$7.24	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.27 / $7.59	Professional		$3.09	$4.27	$7.59