Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $18.20 / $57.54	Facility		$7.08	$18.20	$57.54
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 / $38.90	Facility		$9.55	$9.55	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $7.41	Professional		$4.79	$4.79	$7.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $60.26	Professional		$25.12	$39.81	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $22.39 / $42.66	Facility		$9.77	$22.39	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.46 / $11.22	Professional		$5.37	$6.46	$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 $5.75 / $16.22 / $18.62	Professional		$5.75	$16.22	$18.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.71 / $9.12	Facility		$8.13	$8.71	$9.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $20.42 / $26.30	Professional		$8.51	$20.42	$26.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.14 / $10,000.00	Facility		$8.51	$15.14	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.14 / $10,000.00	Professional		$8.51	$15.14	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.55 / $11.48	Facility		$4.07	$9.55	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.25 / $8.91	Professional		$4.07	$5.25	$8.91