Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $16.98 / $44.67	Facility		$5.01	$16.98	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $7.94	Professional		$5.01	$6.03	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $30.20	Facility		$7.59	$7.59	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.89	Professional		$3.63	$3.63	$5.89
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 $7.76 / $19.05 / $33.88	Facility		$7.76	$19.05	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.01 / $9.12	Professional		$4.17	$5.01	$9.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $11.22	Professional		$7.59	$9.12	$11.22
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 $6.31 / $8.32 / $8.32	Facility		$6.31	$8.32	$8.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.31 / $16.22	Professional		$3.72	$6.31	$16.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.72 / $10,000.00	Facility		$5.75	$10.72	$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 $3.24 / $7.59 / $9.12	Facility		$3.24	$7.59	$9.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.57 / $7.59	Professional		$3.24	$4.57	$7.59