Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $27.32 / $112.53	Facility		$5.04	$27.32	$112.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.05 / $6.58	Professional		$3.36	$4.05	$6.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $4.48 / $21.82	Facility		$4.48	$4.48	$21.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.71	Professional		$2.21	$2.21	$2.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.25 / $30.31	Professional		$13.25	$20.25	$30.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $11.77 / $23.51	Facility		$3.13	$11.77	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.99 / $5.37	Professional		$2.52	$2.99	$5.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $5.60 / $6.63	Professional		$5.38	$5.60	$6.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $4.05 / $4.22	Facility		$3.75	$4.05	$4.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.77 / $9.00	Professional		$6.15	$6.77	$9.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $6.12 / $4,071.00	Facility		$3.48	$6.12	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $5.97 / $4,071.00	Professional		$3.48	$5.97	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.64 / $3.75	Professional		$1.88	$2.64	$3.75