Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $33.11 / $56.23	Facility		$12.02	$33.11	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $12.02 / $20.89	Professional		$3.98	$12.02	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $60.26	Facility		$18.62	$18.62	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $10.72	Professional		$5.89	$5.89	$10.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $30.20	Professional		$12.59	$21.88	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.20 / $79.43	Facility		$11.22	$18.20	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $7.94 / $18.62	Professional		$3.31	$7.94	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $27.54	Professional		$18.62	$22.39	$27.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.03 / $8.32	Professional		$3.55	$6.03	$8.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.88 / $18.62	Facility		$8.91	$12.88	$18.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $33.11	Professional		$14.13	$14.13	$33.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.60 / $10,000.00	Facility		$6.03	$16.60	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $16.60 / $10,000.00	Professional		$6.03	$16.60	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $15.85 / $22.39	Facility		$3.55	$15.85	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $7.76 / $15.14	Professional		$3.55	$7.76	$15.14