Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $26.30 / $48.98	Facility		$5.01	$26.30	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.72 / $3.98	Professional		$3.02	$3.72	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $16.98	Facility		$4.27	$4.27	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $3.24	Professional		$2.09	$2.09	$3.24
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 $4.37 / $10.96 / $19.50	Facility		$4.37	$10.96	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.88 / $5.01	Professional		$2.40	$2.88	$5.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.13 / $6.31	Professional		$4.27	$5.13	$6.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $8.32	Professional		$7.08	$7.08	$8.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.89 / $6.76	Facility		$3.63	$3.89	$6.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $8.91	Professional		$6.31	$6.31	$8.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.89 / $10,000.00	Facility		$3.55	$5.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.75 / $10,000.00	Professional		$3.55	$5.75	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $3.55 / $5.13	Facility		$1.78	$3.55	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.63 / $6.03	Professional		$2.57	$3.63	$6.03