Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $28.18 / $50.12	Facility		$10.00	$28.18	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $15.14	Professional		$5.01	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Facility		$13.49	$13.49	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $8.91	Professional		$5.37	$5.37	$8.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $36.31	Professional		$15.49	$24.55	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $18.62 / $60.26	Facility		$10.23	$18.62	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.17 / $15.14	Professional		$3.39	$6.17	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $19.95	Professional		$13.49	$15.85	$19.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $8.71 / $10.00	Professional		$4.27	$8.71	$10.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $9.77 / $11.22	Facility		$5.01	$9.77	$11.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $11.22 / $28.18	Professional		$4.47	$11.22	$28.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $15.85 / $10,000.00	Facility		$8.13	$15.85	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.85 / $10,000.00	Professional		$8.13	$15.85	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $13.49 / $15.85	Facility		$4.37	$13.49	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.62 / $7.94	Professional		$3.02	$5.62	$7.94