Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $10.22 / $130.91	Facility		$4.07	$10.22	$130.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.07 / $6.34	Professional		$3.23	$4.07	$6.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.30 / $20.99	Facility		$4.30	$4.30	$20.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.13 / $2.60	Professional		$2.13	$2.13	$2.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $19.47 / $29.15	Professional		$12.74	$19.47	$29.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $11.36 / $21.82	Facility		$3.01	$11.36	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.89 / $4.96	Professional		$2.44	$2.89	$4.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.39 / $6.38	Professional		$5.17	$5.39	$6.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $3.90 / $4.07	Facility		$3.61	$3.90	$4.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $6.36 / $9.00	Professional		$5.91	$6.36	$9.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $5.75 / $4,071.00	Facility		$3.35	$5.75	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.74 / $4,071.00	Professional		$3.35	$5.74	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.30 / $8.81	Facility		$4.30	$4.30	$8.81
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.54 / $6.01	Professional		$1.81	$2.54	$6.01