Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $10.72 / $28.84	Facility		$3.02	$10.72	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.01	Professional		$3.02	$3.02	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $19.50	Facility		$4.90	$4.90	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.72	Professional		$2.40	$2.40	$3.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.88 / $33.11	Professional		$13.80	$21.88	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $12.59 / $22.39	Facility		$4.90	$12.59	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.31 / $5.75	Professional		$2.75	$3.31	$5.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.89 / $7.24	Professional		$4.90	$5.89	$7.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $9.55	Professional		$8.13	$8.13	$9.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.27 / $4.57	Facility		$4.17	$4.27	$4.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.17 / $10.23	Professional		$3.98	$4.17	$10.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $6.92 / $10,000.00	Facility		$3.80	$6.92	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.61 / $10,000.00	Professional		$3.80	$6.61	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.90 / $5.89	Facility		$2.04	$4.90	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.82 / $4.90	Professional		$2.04	$2.82	$4.90