Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $10.00 / $27.54	Facility		$3.02	$10.00	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.01	Professional		$3.02	$3.02	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $18.20	Facility		$4.57	$4.57	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.47	Professional		$2.24	$2.24	$3.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.38 / $32.36	Professional		$13.49	$21.38	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $11.48 / $20.89	Facility		$4.68	$11.48	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.09 / $5.37	Professional		$2.57	$3.09	$5.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.50 / $6.76	Professional		$4.57	$5.50	$6.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $7.59 / $8.91	Professional		$3.80	$7.59	$8.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.90 / $4.90	Facility		$3.89	$4.90	$4.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $3.89 / $9.55	Professional		$1.62	$3.89	$9.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $6.46 / $10,000.00	Facility		$3.55	$6.46	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.46 / $10,000.00	Professional		$3.55	$6.46	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $4.57 / $5.50	Facility		$1.91	$4.57	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.75 / $4.79	Professional		$1.91	$2.75	$4.79