Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $31.62 / $147.91	Facility		$12.02	$31.62	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $31.62	Professional		$10.00	$10.96	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $56.23	Facility		$14.13	$14.13	$56.23
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 $12.02 / $30.90 / $64.57	Facility		$12.02	$30.90	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $16.60	Professional		$6.76	$8.71	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $20.89	Professional		$14.13	$16.98	$20.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.95 / $23.44	Professional		$5.01	$19.95	$23.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $19.50	Facility		$10.96	$10.96	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $29.51	Professional		$6.46	$6.46	$29.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.60 / $10,000.00	Facility		$10.23	$16.60	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.78 / $10,000.00	Professional		$10.72	$17.78	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $14.13 / $16.98	Facility		$5.89	$14.13	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.08 / $11.48	Professional		$5.89	$7.08	$11.48