Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $20.89 / $42.66	Facility		$7.08	$20.89	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.00	Professional		$6.03	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $38.02	Facility		$9.55	$9.55	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $6.76	Professional		$4.07	$4.07	$6.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $50.12	Professional		$20.89	$33.11	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $18.20 / $42.66	Facility		$9.77	$18.20	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.50 / $11.22	Professional		$4.37	$5.50	$11.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $14.13	Professional		$9.55	$11.48	$14.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $12.02 / $13.80	Professional		$5.89	$12.02	$13.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.92 / $8.13	Facility		$6.03	$6.92	$8.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.41 / $19.95	Professional		$6.03	$7.41	$19.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $11.75 / $10,000.00	Facility		$6.92	$11.75	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.02 / $10,000.00	Professional		$6.92	$12.02	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $9.55 / $11.48	Facility		$3.98	$9.55	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.37 / $7.41	Professional		$3.98	$4.37	$7.41