Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $61.66 / $144.54	Facility		$9.55	$61.66	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.62 / $10.96	Professional		$3.98	$5.62	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $25.70	Facility		$6.46	$6.46	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.89 / $5.01	Professional		$3.39	$3.89	$5.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $45.71	Professional		$19.05	$30.20	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $16.98 / $29.51	Facility		$6.61	$16.98	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.79 / $7.41	Professional		$3.63	$4.79	$7.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $9.55	Professional		$6.46	$7.76	$9.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $10.96 / $12.59	Professional		$5.37	$10.96	$12.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.62 / $6.46	Facility		$5.50	$5.62	$6.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.62 / $13.49	Professional		$5.01	$5.62	$13.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.47 / $10,000.00	Facility		$5.75	$10.47	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.96 / $10,000.00	Professional		$5.75	$10.96	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $6.46 / $7.76	Facility		$2.29	$6.46	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.89 / $6.76	Professional		$2.69	$3.89	$6.76