Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $48.98 / $64.57	Facility		$23.99	$48.98	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $23.99	Professional		$21.88	$22.91	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $8.13	Professional		$4.07	$4.07	$8.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $26.92 / $38.90	Facility		$22.91	$26.92	$38.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $512.86 / $10,000.00	Facility		$5.75	$512.86	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $512.86 / $10,000.00	Professional		$5.75	$512.86	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $6.61	Professional		$4.68	$4.68	$6.61