Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $34.67 / $79.43	Facility		$12.88	$34.67	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $18.20	Professional		$10.00	$12.02	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $64.57	Facility		$16.22	$16.22	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $10.96	Professional		$6.46	$6.46	$10.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $93.33	Professional		$38.90	$67.61	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $31.62 / $72.44	Facility		$16.60	$31.62	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.77 / $18.62	Professional		$7.41	$9.77	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $23.99	Professional		$16.22	$19.50	$23.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.88 / $25.70	Professional		$10.96	$21.88	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $15.49	Facility		$11.75	$11.75	$15.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $15.49 / $33.88	Professional		$4.90	$15.49	$33.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.42 / $10,000.00	Facility		$11.75	$20.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.42 / $10,000.00	Professional		$11.75	$20.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.22 / $19.50	Facility		$6.76	$16.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $13.80	Professional		$6.76	$8.13	$13.80