Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $208.98	Facility		$0.03	$0.03	$208.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $4.46	Professional		$4.46	$4.46	$4.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $78.25 / $117.13	Professional		$51.20	$78.25	$117.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $59.55 / $69.55	Facility		$1.18	$59.55	$69.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $15.69 / $45.52	Professional		$0.30	$15.69	$45.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $34.85 / $35.67	Professional		$34.24	$34.85	$35.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $17.42 / $28.57	Facility		$17.42	$17.42	$28.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.70 / $17.42	Professional		$9.65	$13.70	$17.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $27.86 / $4,071.00	Facility		$10.28	$27.86	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $27.86 / $4,071.00	Professional		$10.28	$27.86	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $11.98 / $15.56	Professional		$7.56	$11.98	$15.56