Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $14.13 / $38.90	Facility		$3.98	$14.13	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $7.08	Professional		$3.98	$5.01	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $25.70	Facility		$6.46	$6.46	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $5.01	Professional		$3.16	$3.16	$5.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $45.71	Professional		$19.05	$33.11	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $16.60 / $29.51	Facility		$6.61	$16.60	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $6.76	Professional		$3.39	$3.39	$6.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $9.55	Professional		$6.46	$7.76	$9.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $12.59	Professional		$10.96	$10.96	$12.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.61 / $10.00	Facility		$6.17	$6.61	$10.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $13.49	Professional		$5.25	$5.25	$13.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $9.12 / $10,000.00	Facility		$5.01	$9.12	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.12 / $10,000.00	Professional		$5.01	$9.12	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.37 / $7.76	Facility		$2.69	$5.37	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.89 / $6.76	Professional		$2.69	$3.89	$6.76