Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $85.11 / $114.82	Facility		$5.62	$85.11	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.63 / $5.62	Professional		$2.00	$2.63	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $12.02	Facility		$3.02	$3.02	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $2.29	Professional		$1.48	$1.48	$2.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.49 / $21.38	Professional		$8.91	$15.49	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $7.94 / $13.49	Facility		$3.02	$7.94	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.04 / $3.31	Professional		$1.70	$2.04	$3.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.63 / $4.47	Professional		$3.02	$3.63	$4.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.69 / $4.79	Facility		$2.51	$2.69	$4.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.31 / $15.14	Professional		$4.79	$6.31	$15.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $5.25 / $10,000.00	Facility		$2.63	$5.25	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $5.25 / $10,000.00	Professional		$2.63	$5.25	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.51 / $181.97	Facility		$1.26	$2.51	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.78 / $3.16	Professional		$1.26	$1.78	$3.16