Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $9.78 / $19.45	Facility		$4.87	$9.78	$19.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.28 / $4.87	Professional		$3.87	$4.28	$4.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $5.16 / $25.13	Facility		$5.16	$5.16	$25.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.12	Professional		$2.54	$2.54	$3.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $31.17 / $46.66	Professional		$20.39	$31.17	$46.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $16.26 / $26.84	Facility		$3.60	$16.26	$26.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.65 / $5.78	Professional		$2.92	$4.65	$5.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.45 / $7.64	Professional		$6.19	$6.45	$7.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.37 / $5.77	Facility		$4.63	$5.37	$5.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $9.47 / $15.00	Professional		$8.03	$9.47	$15.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $7.89 / $4,071.00	Facility		$4.01	$7.89	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $7.09 / $4,071.00	Professional		$4.01	$7.09	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.10 / $5.68	Professional		$2.17	$3.10	$5.68