Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $44.94	Facility		$14.00	$14.00	$44.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $14.00 / $18.23	Professional		$11.66	$14.00	$18.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $9.00 / $12.50	Professional		$4.05	$9.00	$12.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $24.46 / $42.07	Professional		$22.01	$24.46	$42.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $12.00 / $17.36	Professional		$4.51	$12.00	$17.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.69 / $16.00	Professional		$3.52	$4.69	$16.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $14.00 / $18.89	Facility		$4.98	$14.00	$18.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $8.00 / $10.87	Professional		$6.00	$8.00	$10.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $6.94 / $87,438.60	Facility		$4.54	$6.94	$87,438.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.94 / $87,438.60	Professional		$4.54	$6.94	$87,438.60
United Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $5.68 / $9.24	Professional		$3.67	$5.68	$9.24