Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $12.88 / $33.11	Facility		$5.01	$12.88	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.03	Professional		$3.98	$3.98	$6.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $21.88	Facility		$5.50	$5.50	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $4.27	Professional		$2.69	$2.69	$4.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $38.90	Professional		$16.22	$25.70	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $14.13 / $25.12	Facility		$5.62	$14.13	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.63 / $6.17	Professional		$3.09	$3.63	$6.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $8.13	Professional		$5.50	$6.61	$8.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $9.12 / $10.72	Professional		$4.57	$9.12	$10.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.79 / $5.25	Facility		$4.68	$4.79	$5.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.62 / $11.48	Professional		$4.68	$5.62	$11.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.76 / $10,000.00	Facility		$4.90	$7.76	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.59 / $10,000.00	Professional		$4.57	$7.59	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $5.50 / $6.61	Facility		$2.29	$5.50	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.31 / $5.75	Professional		$2.29	$3.31	$5.75