Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $58.88 / $138.04	Facility		$13.18	$58.88	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $12.88	Professional		$7.94	$9.55	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $42.66	Facility		$10.72	$10.72	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $8.32	Professional		$5.25	$5.25	$8.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $75.86	Professional		$31.62	$54.95	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.18 / $48.98	Facility		$10.96	$28.18	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $12.30	Professional		$6.03	$7.08	$12.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $15.85	Professional		$10.72	$12.88	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.20 / $20.89	Professional		$8.91	$18.20	$20.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.77 / $12.59	Facility		$9.12	$9.77	$12.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $22.39	Professional		$10.23	$12.59	$22.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.45 / $10,000.00	Facility		$8.91	$14.45	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $10,000.00	Professional		$8.91	$14.45	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $10.72 / $12.88	Facility		$4.47	$10.72	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.31 / $11.22	Professional		$4.47	$6.31	$11.22