Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $25.70 / $87.10	Facility		$8.91	$25.70	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $12.02	Professional		$7.08	$7.94	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $41.69	Facility		$10.23	$10.23	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $7.94	Professional		$5.13	$5.13	$7.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $72.44	Professional		$30.90	$52.48	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $26.92 / $47.86	Facility		$10.47	$26.92	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $12.02	Professional		$5.75	$6.92	$12.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $15.14	Professional		$10.23	$12.30	$15.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $17.38 / $20.42	Professional		$8.51	$17.38	$20.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $9.33 / $16.60	Facility		$8.71	$9.33	$16.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $21.88	Professional		$12.02	$12.02	$21.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $14.79 / $10,000.00	Facility		$7.94	$14.79	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.45 / $10,000.00	Professional		$7.94	$14.45	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $10.23 / $12.30	Facility		$4.37	$10.23	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.17 / $10.72	Professional		$4.37	$6.17	$10.72