Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $21.38 / $46.77	Facility		$5.01	$21.38	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.76 / $9.33	Professional		$5.01	$6.76	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $31.62	Facility		$7.94	$7.94	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.68 / $6.03	Professional		$4.07	$4.68	$6.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $54.95	Professional		$23.44	$37.15	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $20.89 / $35.48	Facility		$7.94	$20.89	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.37 / $9.12	Professional		$4.47	$5.37	$9.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.33 / $11.75	Professional		$7.94	$9.33	$11.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $15.49	Professional		$9.77	$13.18	$15.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.92 / $7.41	Facility		$6.61	$6.92	$7.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $13.80 / $16.60	Professional		$6.76	$13.80	$16.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $12.88 / $10,000.00	Facility		$6.92	$12.88	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.18 / $10,000.00	Professional		$6.92	$13.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $7.94 / $9.33	Facility		$3.31	$7.94	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.68 / $8.32	Professional		$3.31	$4.68	$8.32