Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $18.20 / $61.66	Facility		$5.75	$18.20	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $7.94	Professional		$5.01	$6.03	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $30.90	Facility		$7.76	$7.76	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.89	Professional		$3.80	$3.80	$5.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $54.95	Professional		$22.91	$39.81	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.95 / $35.48	Facility		$7.94	$19.95	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.13 / $9.12	Professional		$4.37	$5.13	$9.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.33 / $11.48	Professional		$7.76	$9.33	$11.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.88 / $15.14	Professional		$6.46	$12.88	$15.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $7.08 / $12.59	Facility		$6.61	$7.08	$12.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.59 / $16.22	Professional		$7.08	$12.59	$16.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.96 / $10,000.00	Facility		$6.03	$10.96	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.72 / $10,000.00	Professional		$6.03	$10.72	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $7.76 / $181.97	Facility		$3.24	$7.76	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.68 / $8.13	Professional		$3.24	$4.68	$8.13