Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $31.62 / $61.66	Facility		$10.00	$31.62	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $17.78	Professional		$8.91	$10.96	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $56.23	Facility		$14.13	$14.13	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $9.55	Professional		$5.62	$5.62	$9.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $72.44	Professional		$30.90	$52.48	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $27.54 / $64.57	Facility		$14.45	$27.54	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $16.60	Professional		$6.46	$7.94	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $20.89	Professional		$14.13	$16.98	$20.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.38 / $20.42	Professional		$8.71	$17.38	$20.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $12.30	Facility		$10.23	$10.23	$12.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $29.51	Professional		$9.55	$12.30	$29.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.98 / $10,000.00	Facility		$10.23	$16.98	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.38 / $10,000.00	Professional		$10.23	$17.38	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $14.13 / $16.98	Facility		$5.89	$14.13	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.46 / $10.96	Professional		$5.89	$6.46	$10.96