Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $21.88 / $45.71	Facility		$7.08	$21.88	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.96	Professional		$6.03	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $39.81	Facility		$10.00	$10.00	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.61	Professional		$3.98	$3.98	$6.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $53.70	Professional		$22.39	$35.48	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.50 / $44.67	Facility		$10.00	$19.50	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.89 / $11.48	Professional		$4.47	$5.89	$11.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $14.79	Professional		$10.00	$12.02	$14.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $12.88 / $14.79	Professional		$5.89	$12.88	$14.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.24 / $8.51	Facility		$6.46	$7.24	$8.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $20.89	Professional		$6.46	$7.94	$20.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.30 / $10,000.00	Facility		$7.24	$12.30	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.30 / $10,000.00	Professional		$7.24	$12.30	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $10.00 / $12.02	Facility		$4.17	$10.00	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.68 / $7.94	Professional		$4.17	$4.68	$7.94