Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $8.65 / $17.19	Facility		$4.30	$8.65	$17.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.78 / $4.30	Professional		$3.42	$3.78	$4.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $22.21	Facility		$4.55	$4.55	$22.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.75	Professional		$2.25	$2.25	$2.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $20.57 / $30.80	Professional		$13.46	$20.57	$30.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $11.41 / $23.51	Facility		$3.18	$11.41	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.06 / $5.37	Professional		$2.58	$3.06	$5.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.70 / $6.75	Professional		$5.47	$5.70	$6.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $4.93 / $4.93	Facility		$3.81	$4.93	$4.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $6.25 / $10.00	Professional		$1.61	$6.25	$10.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $6.22 / $4,071.00	Facility		$3.54	$6.22	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $6.08 / $4,071.00	Professional		$3.54	$6.08	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $2.27 / $2.96	Facility		$1.60	$2.27	$2.96
United Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.69 / $4.55	Professional		$1.92	$2.69	$4.55