Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $21.88 / $53.70	Facility		$7.08	$21.88	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.96	Professional		$6.03	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $38.90	Facility		$9.77	$9.77	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $7.41	Professional		$4.37	$4.37	$7.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $63.10	Professional		$26.30	$45.71	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $21.38 / $44.67	Facility		$10.00	$21.38	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.61 / $13.80	Professional		$5.01	$6.61	$13.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $14.45	Professional		$9.77	$11.75	$14.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.79 / $17.38	Professional		$7.41	$14.79	$17.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.72 / $14.45	Facility		$8.32	$10.72	$14.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $20.89	Professional		$3.80	$3.80	$20.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $13.18 / $10,000.00	Facility		$7.94	$13.18	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.88 / $10,000.00	Professional		$7.41	$12.88	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $9.77 / $11.75	Facility		$4.90	$9.77	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $12.59	Professional		$5.89	$7.41	$12.59