Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $21.88 / $128.82	Facility		$7.94	$21.88	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.00	Professional		$6.03	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $35.48	Facility		$8.91	$8.91	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.37 / $6.76	Professional		$4.57	$5.37	$6.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $63.10	Professional		$26.30	$44.67	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $22.91 / $39.81	Facility		$9.12	$22.91	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $10.00	Professional		$5.01	$6.03	$10.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $13.18	Professional		$8.91	$10.72	$13.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.79 / $17.38	Professional		$7.41	$14.79	$17.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $8.13 / $10.47	Facility		$7.59	$8.13	$10.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $18.62	Professional		$8.91	$10.47	$18.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $13.80 / $10,000.00	Facility		$7.94	$13.80	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.80 / $10,000.00	Professional		$7.94	$13.80	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $8.91 / $10.72	Facility		$3.72	$8.91	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.37 / $9.33	Professional		$3.72	$5.37	$9.33