Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $11.75 / $30.20	Facility		$3.98	$11.75	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $10.96	Professional		$3.02	$3.98	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $19.95	Facility		$5.01	$5.01	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $3.89	Professional		$2.82	$2.82	$3.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.70 / $35.48	Professional		$14.79	$25.70	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $13.18 / $22.39	Facility		$5.13	$13.18	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.89 / $8.13	Professional		$2.82	$3.89	$8.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $7.41	Professional		$5.01	$6.03	$7.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.23	Professional		$8.71	$8.71	$10.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $7.41	Facility		$2.63	$2.63	$7.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $10.47	Professional		$3.98	$3.98	$10.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.24 / $10,000.00	Facility		$3.89	$7.24	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $7.24 / $10,000.00	Professional		$3.89	$7.24	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $4.37 / $6.03	Facility		$2.09	$4.37	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.37 / $10.00	Professional		$3.02	$4.37	$10.00