Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $21.38 / $41.69	Facility		$7.94	$21.38	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $12.88	Professional		$7.94	$7.94	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $44.67	Facility		$11.22	$11.22	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $8.32	Professional		$5.62	$5.62	$8.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $79.43	Professional		$33.11	$57.54	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $26.30 / $52.48	Facility		$11.48	$26.30	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $13.18	Professional		$6.31	$7.59	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $16.60	Professional		$11.22	$13.49	$16.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $19.05 / $21.88	Professional		$7.24	$19.05	$21.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.30 / $18.20	Facility		$9.55	$12.30	$18.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $13.49 / $10,000.00	Facility		$5.62	$13.49	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $13.49 / $10,000.00	Professional		$5.75	$13.49	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $11.22 / $13.49	Facility		$4.79	$11.22	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.61 / $9.12	Professional		$3.98	$6.61	$9.12