Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $50.12 / $87.10	Facility		$8.13	$50.12	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.47 / $6.03	Professional		$3.02	$4.47	$6.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $20.89	Facility		$5.13	$5.13	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.98	Professional		$2.57	$2.57	$3.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.30 / $36.31	Professional		$15.49	$26.30	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $13.18 / $23.99	Facility		$5.25	$13.18	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.47 / $5.75	Professional		$2.88	$3.47	$5.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.17 / $7.59	Professional		$5.13	$6.17	$7.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $8.71 / $10.00	Professional		$3.55	$8.71	$10.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.68 / $7.76	Facility		$4.37	$4.68	$7.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $19.95	Professional		$10.96	$10.96	$19.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.32 / $10,000.00	Facility		$4.57	$8.32	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $8.71 / $10,000.00	Professional		$4.57	$8.71	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $5.13 / $6.17	Facility		$2.19	$5.13	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $5.37	Professional		$2.19	$3.09	$5.37