Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.98 / $54.95	Facility		$6.03	$16.98	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.08	Professional		$5.01	$5.01	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $27.54	Facility		$6.92	$6.92	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $5.25	Professional		$3.39	$3.39	$5.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $48.98	Professional		$20.42	$32.36	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $17.38 / $30.90	Facility		$7.08	$17.38	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.68 / $7.76	Professional		$3.89	$4.68	$7.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.32 / $10.23	Professional		$6.92	$8.32	$10.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $11.48 / $13.49	Professional		$4.68	$11.48	$13.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.31 / $6.46	Facility		$5.89	$6.31	$6.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $14.45 / $14.45	Professional		$6.17	$14.45	$14.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9.77 / $10,000.00	Facility		$5.37	$9.77	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $9.77 / $10,000.00	Professional		$5.37	$9.77	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $6.92 / $8.32	Facility		$2.88	$6.92	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.17 / $7.24	Professional		$2.88	$4.17	$7.24