Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $48.48 / $95.76	Facility		$5.93	$48.48	$95.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.54 / $5.34	Professional		$3.40	$3.54	$5.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $3.93 / $19.14	Facility		$3.93	$3.93	$19.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $2.37	Professional		$1.94	$1.94	$2.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $17.76 / $26.58	Professional		$11.62	$17.76	$26.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $10.37 / $20.13	Facility		$2.74	$10.37	$20.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.24 / $5.79	Professional		$2.23	$3.24	$5.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.91 / $5.82	Professional		$4.72	$4.91	$5.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.55 / $3.93	Facility		$3.24	$3.55	$3.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.93 / $8.00	Professional		$4.45	$5.93	$8.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $5.52 / $49.72	Facility		$3.28	$5.52	$49.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $5.48 / $49.72	Professional		$3.28	$5.48	$49.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.29 / $5.37	Professional		$2.29	$3.29	$5.37