Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $33.88 / $112.20	Facility		$11.75	$33.88	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $22.39	Professional		$8.91	$10.96	$22.39
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 $6.17 / $6.17 / $9.55	Professional		$6.17	$6.17	$9.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $87.10	Professional		$36.31	$63.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $56.23	Facility		$12.59	$28.18	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.32 / $14.13	Professional		$6.92	$8.32	$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 / $20.89 / $23.99	Professional		$10.23	$20.89	$23.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.72 / $14.79	Facility		$10.47	$10.72	$14.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $14.79 / $26.30	Professional		$4.90	$14.79	$26.30
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 / $17.38 / $10,000.00	Professional		$9.55	$17.38	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.30 / $14.79	Facility		$5.25	$12.30	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $12.88	Professional		$5.25	$7.41	$12.88