Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $43.64 / $76.70	Facility		$5.67	$43.64	$76.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $3.10 / $3.80	Professional		$2.85	$3.10	$3.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $18.51	Facility		$3.80	$3.80	$18.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.29	Professional		$1.70	$1.70	$2.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.58 / $23.33	Professional		$10.19	$15.58	$23.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $8.77 / $18.07	Facility		$2.65	$8.77	$18.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.33 / $5.68	Professional		$1.95	$2.33	$5.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.75 / $5.62	Professional		$4.55	$4.75	$5.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.12 / $3.33	Facility		$3.04	$3.12	$3.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $5.20 / $7.00	Professional		$2.73	$5.20	$7.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $5.05 / $28.44	Facility		$2.87	$5.05	$28.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $5.00 / $28.44	Professional		$2.87	$5.00	$28.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $2.11 / $3.61	Professional		$1.60	$2.11	$3.61