Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $35.48 / $79.43	Facility		$10.96	$35.48	$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 $15.85 / $15.85 / $64.57	Facility		$15.85	$15.85	$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 $16.22 / $32.36 / $72.44	Facility		$16.22	$32.36	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.77 / $18.20	Professional		$7.41	$9.77	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.44	Professional		$15.85	$19.05	$23.44
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 $10.96 / $11.75 / $13.49	Facility		$10.96	$11.75	$13.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $10.96 / $33.88	Professional		$4.90	$10.96	$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 / $15.85 / $19.05	Facility		$6.76	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $13.80	Professional		$6.76	$8.13	$13.80