Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $15.85 / $89.13	Facility		$6.03	$15.85	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $9.12	Professional		$3.98	$5.01	$9.12
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 $3.16 / $3.16 / $4.79	Professional		$3.16	$3.16	$4.79
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 / $16.22 / $29.51	Facility		$6.61	$16.22	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.37 / $7.41	Professional		$3.63	$4.37	$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 / $5.89 / $6.17	Facility		$5.50	$5.89	$6.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $13.49	Professional		$4.47	$5.62	$13.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.71 / $10,000.00	Facility		$5.01	$8.71	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.71 / $10,000.00	Professional		$5.01	$8.71	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $6.46 / $7.76	Facility		$2.69	$6.46	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.80 / $6.76	Professional		$2.69	$3.80	$6.76