Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $16.22 / $44.67	Facility		$5.01	$16.22	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.94	Professional		$5.01	$5.01	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $29.51	Facility		$7.41	$7.41	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.62	Professional		$3.63	$3.63	$5.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $52.48	Professional		$21.88	$34.67	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $19.50 / $33.88	Facility		$7.59	$19.50	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.01 / $8.71	Professional		$4.17	$5.01	$8.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.91 / $10.96	Professional		$7.41	$8.91	$10.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.30 / $14.45	Professional		$6.17	$12.30	$14.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.94 / $7.94	Facility		$6.17	$7.94	$7.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $15.49	Professional		$6.17	$7.59	$15.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.47 / $10,000.00	Facility		$5.75	$10.47	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.47 / $10,000.00	Professional		$5.75	$10.47	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $7.41 / $8.91	Facility		$3.09	$7.41	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.47 / $7.76	Professional		$3.09	$4.47	$7.76