Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $7.55 / $15.00	Facility		$3.46	$7.55	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.30 / $3.46	Professional		$2.99	$3.30	$3.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $19.38	Facility		$3.98	$3.98	$19.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.40	Professional		$1.81	$1.81	$2.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $16.55 / $24.78	Professional		$10.83	$16.55	$24.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $9.22 / $19.45	Facility		$2.78	$9.22	$19.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.49 / $4.54	Professional		$2.06	$2.49	$4.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.98 / $5.89	Professional		$4.78	$4.98	$5.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.32 / $3.54	Facility		$3.14	$3.32	$3.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $5.03 / $8.00	Professional		$4.03	$5.03	$8.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.91 / $5.30 / $4,071.00	Facility		$2.91	$5.30	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $5.19 / $4,071.00	Professional		$2.85	$5.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.24 / $3.83	Professional		$1.67	$2.24	$3.83