Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $14.45 / $42.66	Facility		$4.68	$14.45	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $23.99	Professional		$2.00	$2.69	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $14.45	Facility		$3.63	$3.63	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $2.45	Professional		$1.48	$1.48	$2.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $20.89	Professional		$8.91	$14.13	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $7.94 / $16.22	Facility		$3.72	$7.94	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.19 / $4.17	Professional		$1.70	$2.19	$4.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.37 / $5.37	Professional		$3.63	$4.37	$5.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $5.01 / $5.89	Professional		$2.45	$5.01	$5.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $3.09	Facility		$2.63	$2.63	$3.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.79 / $7.59	Professional		$2.69	$4.79	$7.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.25 / $10,000.00	Facility		$2.88	$5.25	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $5.25 / $10,000.00	Professional		$2.88	$5.25	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $3.63 / $4.37	Facility		$1.51	$3.63	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.82 / $3.16	Professional		$1.51	$1.82	$3.16