Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $12.10 / $26.24	Facility		$5.19	$12.10	$26.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.79 / $5.19	Professional		$4.13	$4.79	$5.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $26.79	Facility		$5.50	$5.50	$26.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $3.32	Professional		$2.72	$2.72	$3.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $24.92 / $37.29	Professional		$16.30	$24.92	$37.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $14.16 / $28.53	Facility		$3.85	$14.16	$28.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.67 / $6.20	Professional		$3.12	$3.67	$6.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.88 / $8.14	Professional		$6.60	$6.88	$8.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.80 / $5.19	Facility		$4.61	$4.80	$5.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $8.32 / $12.00	Professional		$5.63	$8.32	$12.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $7.33 / $4,071.00	Facility		$4.28	$7.33	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $7.33 / $4,071.00	Professional		$4.28	$7.33	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.75 / $5.50	Facility		$1.93	$2.75	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.30 / $5.50	Professional		$2.31	$3.30	$5.50