Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $26.92 / $74.13	Facility		$8.91	$26.92	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $14.13	Professional		$7.94	$8.91	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $48.98	Facility		$12.30	$12.30	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $9.33	Professional		$6.03	$6.03	$9.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $87.10	Professional		$36.31	$61.66	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.84 / $54.95	Facility		$12.59	$28.84	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.13 / $14.13	Professional		$6.92	$8.13	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $18.20	Professional		$12.30	$14.79	$18.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $23.99	Professional		$10.23	$20.42	$23.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.22 / $14.45	Facility		$10.47	$11.22	$14.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $14.45 / $25.70	Professional		$4.90	$14.45	$25.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $17.38 / $10,000.00	Facility		$9.55	$17.38	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.98 / $10,000.00	Professional		$9.55	$16.98	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $12.30 / $14.79	Facility		$5.13	$12.30	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.41 / $12.88	Professional		$5.13	$7.41	$12.88