Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $12.59 / $54.95	Facility		$4.79	$12.59	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $5.13	Professional		$3.02	$3.98	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $20.42	Facility		$5.13	$5.13	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $3.89	Professional		$2.51	$2.51	$3.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $35.48	Professional		$15.14	$23.99	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.02 / $23.99	Facility		$5.25	$12.02	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.47 / $5.75	Professional		$2.88	$3.47	$5.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.17 / $7.59	Professional		$5.13	$6.17	$7.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $8.51 / $10.00	Professional		$4.27	$8.51	$10.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.57 / $4.79	Facility		$4.37	$4.57	$4.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.37 / $10.72	Professional		$2.40	$4.37	$10.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.59 / $10,000.00	Facility		$4.57	$7.59	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.59 / $10,000.00	Professional		$4.57	$7.59	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $5.13 / $6.17	Facility		$2.14	$5.13	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.02 / $5.37	Professional		$2.14	$3.02	$5.37