Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $61.66 / $100.00	Facility		$8.51	$61.66	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.98 / $9.33	Professional		$3.80	$3.98	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $23.44	Facility		$5.75	$5.75	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.47 / $4.47	Professional		$3.02	$3.47	$4.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $30.20	Professional		$12.59	$21.88	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.22 / $26.92	Facility		$5.89	$11.22	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.47 / $8.32	Professional		$2.63	$3.47	$8.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $8.71	Professional		$5.75	$6.92	$8.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $7.08 / $8.32	Professional		$3.55	$7.08	$8.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $5.75	Facility		$4.27	$4.27	$5.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.57 / $12.30	Professional		$3.24	$4.57	$12.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $7.59 / $10,000.00	Facility		$4.27	$7.59	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $7.59 / $10,000.00	Professional		$4.27	$7.59	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $5.75 / $6.92	Facility		$2.45	$5.75	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.72 / $6.03	Professional		$3.16	$3.72	$6.03