Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $19.05 / $51.29	Facility		$6.03	$19.05	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $8.91	Professional		$6.03	$6.03	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $34.67	Facility		$8.51	$8.51	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $6.61	Professional		$4.27	$4.27	$6.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $60.26	Professional		$25.70	$40.74	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $20.42 / $38.90	Facility		$8.71	$20.42	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $10.00	Professional		$4.79	$5.75	$10.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $12.59	Professional		$8.51	$10.23	$12.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.45 / $16.98	Professional		$7.08	$14.45	$16.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $9.33 / $9.33	Facility		$7.24	$9.33	$9.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $18.20 / $23.99	Professional		$7.24	$18.20	$23.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.30 / $10,000.00	Facility		$6.76	$12.30	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $12.02 / $10,000.00	Professional		$6.76	$12.02	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $8.51 / $10.23	Facility		$3.63	$8.51	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.13 / $9.12	Professional		$3.63	$5.13	$9.12