Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $13.18 / $30.20	Facility		$3.98	$13.18	$30.20
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 $6.03 / $6.03 / $23.99	Facility		$6.03	$6.03	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $4.17	Professional		$2.45	$2.45	$4.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $35.48	Professional		$14.79	$23.44	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $13.18 / $26.92	Facility		$6.17	$13.18	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.72 / $7.08	Professional		$2.82	$3.72	$7.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $8.91	Professional		$6.03	$7.24	$8.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.51 / $9.77	Professional		$4.17	$8.51	$9.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $5.13	Facility		$4.37	$4.37	$5.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.37 / $12.59	Professional		$4.07	$4.37	$12.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $7.94 / $10,000.00	Facility		$4.47	$7.94	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.94 / $10,000.00	Professional		$4.47	$7.94	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $6.03 / $7.24	Facility		$2.51	$6.03	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.09 / $5.25	Professional		$2.51	$3.09	$5.25