Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $18.07 / $49.22	Facility		$2.42	$18.07	$49.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.49 / $4.90	Professional		$2.36	$2.49	$4.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $15.29 / $19.30	Facility		$11.93	$15.29	$19.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $3.00	Professional		$2.88	$2.88	$3.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.40 / $10.53	Professional		$5.40	$5.40	$10.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $4.32 / $7.37	Facility		$0.15	$4.32	$7.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.54 / $10.28	Professional		$2.84	$3.54	$10.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.80 / $13.50	Professional		$8.91	$10.80	$13.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $4.43 / $10.80	Facility		$2.42	$4.43	$10.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.00 / $21.22	Professional		$5.00	$8.00	$21.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $3.92 / $12.17	Facility		$2.59	$3.92	$12.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.92 / $12.17	Professional		$2.59	$3.92	$12.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.72 / $3.89	Professional		$1.29	$1.72	$3.89