Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $68.45	Facility		$0.03	$0.03	$68.45
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 $6.05 / $6.05 / $12.41	Professional		$6.05	$6.05	$12.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $70.37 / $105.34	Professional		$46.05	$70.37	$105.34
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 / $14.92 / $24.26	Professional		$0.30	$14.92	$24.26
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 $2.22 / $2.22 / $28.57	Facility		$2.22	$2.22	$28.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $19.72 / $19.72	Professional		$2.22	$19.72	$19.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $27.86 / $4,071.00	Facility		$13.80	$27.86	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $27.86 / $4,071.00	Professional		$13.80	$27.86	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $11.97 / $15.56	Facility		$8.38	$11.97	$15.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.40 / $16.64	Professional		$10.06	$12.40	$16.64