Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $30.20 / $104.71	Facility		$11.48	$30.20	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $12.88	Professional		$7.94	$8.91	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $45.71	Facility		$11.48	$11.48	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $8.91	Professional		$5.75	$5.75	$8.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $81.28	Professional		$33.88	$58.88	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $30.20 / $52.48	Facility		$11.75	$30.20	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $13.18	Professional		$6.46	$7.76	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $16.98	Professional		$11.48	$13.80	$16.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.50 / $22.39	Professional		$9.55	$19.50	$22.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.47 / $18.62	Facility		$9.77	$10.47	$18.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $23.99	Professional		$11.22	$11.22	$23.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $17.78 / $10,000.00	Facility		$10.23	$17.78	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.78 / $10,000.00	Professional		$10.23	$17.78	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $11.48 / $13.80	Facility		$4.79	$11.48	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $12.02	Professional		$4.79	$6.92	$12.02