Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $6.79 / $13.50	Facility		$3.38	$6.79	$13.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.97 / $3.38	Professional		$2.69	$2.97	$3.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $3.58 / $17.43	Facility		$3.58	$3.58	$17.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.77 / $2.16	Professional		$1.77	$1.77	$2.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $72.87 / $109.08	Professional		$47.68	$72.87	$109.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $14.74 / $54.27	Facility		$2.50	$14.74	$54.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.76 / $13.19	Professional		$2.00	$3.76	$13.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.48 / $5.30	Professional		$4.30	$4.48	$5.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $1.90 / $7.15	Facility		$1.90	$1.90	$7.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $21.83 / $22.74	Professional		$2.87	$21.83	$22.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $7.29 / $4,071.00	Facility		$2.79	$7.29	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $7.29 / $4,071.00	Professional		$2.79	$7.29	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.79 / $3.58	Facility		$1.25	$1.79	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.15 / $11.37	Professional		$1.50	$2.15	$11.37