Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $31.62 / $72.44	Facility		$10.00	$31.62	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $15.85	Professional		$8.91	$10.96	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $57.54	Facility		$14.45	$14.45	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $10.00	Professional		$5.89	$5.89	$10.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $77.62	Professional		$32.36	$56.23	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $30.90 / $64.57	Facility		$14.79	$30.90	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $16.98	Professional		$6.76	$8.71	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $21.38	Professional		$14.45	$17.38	$21.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $23.44	Professional		$10.00	$19.95	$23.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $19.50	Facility		$10.47	$10.47	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $30.20	Professional		$8.51	$8.51	$30.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $18.62 / $10,000.00	Facility		$10.47	$18.62	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.62 / $10,000.00	Professional		$10.47	$18.62	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.45 / $17.38	Facility		$6.03	$14.45	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $11.48	Professional		$6.03	$7.24	$11.48