Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $22.91 / $51.29	Facility		$7.08	$22.91	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $10.96	Professional		$7.08	$7.94	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $41.69	Facility		$10.47	$10.47	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $6.92	Professional		$4.17	$4.17	$6.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $56.23	Professional		$23.44	$38.02	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $20.89 / $47.86	Facility		$10.47	$20.89	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.17 / $12.02	Professional		$4.79	$6.17	$12.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $15.49	Professional		$10.47	$12.59	$15.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $13.49 / $15.49	Professional		$6.61	$13.49	$15.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $8.91	Facility		$7.59	$7.59	$8.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $19.95 / $21.88	Professional		$8.32	$19.95	$21.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.88 / $10,000.00	Facility		$7.59	$12.88	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.18 / $10,000.00	Professional		$7.59	$13.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $10.47 / $12.59	Facility		$4.37	$10.47	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.90 / $8.32	Professional		$4.37	$4.90	$8.32