Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $17.78 / $39.81	Facility		$6.03	$17.78	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $8.91	Professional		$5.01	$6.03	$8.91
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 $3.24 / $3.24 / $5.37	Professional		$3.24	$3.24	$5.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $40.74	Professional		$16.98	$26.92	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $15.49 / $35.48	Facility		$8.13	$15.49	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.57 / $9.55	Professional		$3.63	$4.57	$9.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $11.75	Professional		$7.94	$9.55	$11.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $10.00 / $11.75	Professional		$4.90	$10.00	$11.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.89 / $6.76	Facility		$5.13	$5.89	$6.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $12.02 / $16.98	Professional		$5.13	$12.02	$16.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.00 / $10,000.00	Facility		$6.03	$10.00	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.47 / $10,000.00	Professional		$5.89	$10.47	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $7.94 / $9.55	Facility		$3.39	$7.94	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.63 / $6.03	Professional		$3.39	$3.63	$6.03