Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $49.65 / $126.08	Facility		$9.31	$49.65	$126.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.53 / $4.29	Professional		$3.22	$3.53	$4.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $20.89	Facility		$4.29	$4.29	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.59	Professional		$2.57	$2.57	$2.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $17.79 / $26.63	Professional		$11.64	$17.79	$26.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $10.34 / $20.84	Facility		$3.00	$10.34	$20.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.24 / $6.28	Professional		$2.23	$3.24	$6.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.36 / $6.35	Professional		$5.15	$5.36	$6.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.55 / $4.29	Facility		$3.43	$3.55	$4.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.94 / $8.00	Professional		$3.83	$5.94	$8.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $5.70 / $62.71	Facility		$3.28	$5.70	$62.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $5.70 / $62.71	Professional		$3.28	$5.70	$62.71
United Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Facility		$1.80	$1.80	$1.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.44 / $5.25	Professional		$2.15	$3.44	$5.25