Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $10.47 / $19.50	Facility		$3.02	$10.47	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.98	Professional		$3.02	$3.02	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $19.95	Facility		$4.90	$4.90	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $3.63	Professional		$2.45	$2.45	$3.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $30.90	Professional		$12.88	$22.39	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.47 / $6.46	Facility		$3.24	$3.47	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $5.25	Professional		$2.57	$2.57	$5.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.89 / $7.41	Professional		$4.90	$5.89	$7.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.07 / $6.03	Facility		$2.63	$4.07	$6.03
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 $5.89 / $10,000.00 / $10,964.78	Facility		$5.89	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10,000.00 / $10,964.78	Professional		$5.89	$10,000.00	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $4.90 / $5.89	Facility		$2.09	$4.90	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.57 / $4.57	Professional		$2.09	$2.57	$4.57