Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $63.10 / $134.90	Facility		$8.51	$63.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.75 / $8.71	Professional		$3.98	$5.75	$8.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $26.30	Facility		$6.61	$6.61	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $5.13	Professional		$3.24	$3.24	$5.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.88 / $46.77	Professional		$19.50	$33.88	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.60 / $29.51	Facility		$6.76	$16.60	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.47 / $9.33	Professional		$3.72	$4.47	$9.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.94 / $9.77	Professional		$6.61	$7.94	$9.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.22 / $12.88	Professional		$5.50	$11.22	$12.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.75 / $7.08	Facility		$5.62	$5.75	$7.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.41 / $13.80	Professional		$7.08	$7.41	$13.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10.23 / $10,000.00	Facility		$5.89	$10.23	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.23 / $10,000.00	Professional		$5.89	$10.23	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $6.61 / $7.94	Facility		$2.75	$6.61	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.98 / $6.92	Professional		$2.75	$3.98	$6.92