Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $12.88 / $21.88	Facility		$3.98	$12.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.98 / $7.08	Professional		$3.63	$3.98	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $23.44	Facility		$5.89	$5.89	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $3.89	Professional		$2.34	$2.34	$3.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.38 / $24.55	Professional		$10.23	$17.38	$24.55
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 / $3.09 / $6.76	Professional		$2.63	$3.09	$6.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.08 / $8.71	Professional		$5.89	$7.08	$8.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.03 / $8.32	Professional		$3.55	$6.03	$8.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.79 / $7.41	Facility		$4.47	$4.79	$7.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $12.30	Professional		$4.79	$4.79	$12.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.89 / $10,000.00	Facility		$3.98	$5.89	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.89 / $10,000.00	Professional		$3.98	$5.89	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $5.89 / $7.08	Facility		$2.45	$5.89	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.47 / $5.89	Professional		$2.57	$3.47	$5.89