Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $11.25 / $80.56	Facility		$4.30	$11.25	$80.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.21 / $4.30	Professional		$3.80	$4.21	$4.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $5.07 / $24.69	Facility		$5.07	$5.07	$24.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $3.06	Professional		$2.02	$2.02	$3.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.82 / $25.17	Professional		$11.00	$16.82	$25.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $9.52 / $22.27	Facility		$3.54	$9.52	$22.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.03 / $7.23	Professional		$2.31	$3.03	$7.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.34 / $7.50	Professional		$6.08	$6.34	$7.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.69 / $4.30	Facility		$3.31	$3.69	$4.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.63 / $8.00	Professional		$5.11	$5.63	$8.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $6.03 / $4,071.00	Facility		$3.70	$6.03	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.14 / $4,071.00	Professional		$3.55	$6.14	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.60 / $5.07	Professional		$2.13	$2.60	$5.07