Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $22.91 / $36.31	Professional		$5.01	$22.91	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $64.57	Professional		$28.84	$36.31	$64.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $63.10	Professional		$43.65	$48.98	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $42.66	Professional		$19.05	$24.55	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.37 / $7.24	Professional		$3.98	$5.37	$7.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $10.00 / $36.31	Facility		$4.90	$10.00	$36.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $6.92 / $10.23	Facility		$3.72	$6.92	$10.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.92 / $10.23	Professional		$3.72	$6.92	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $8.13 / $23.99	Professional		$4.57	$8.13	$23.99