Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $16.97 / $119.48	Facility		$5.46	$16.97	$119.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.99 / $5.20	Professional		$4.13	$4.99	$5.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $5.51 / $26.83	Facility		$5.51	$5.51	$26.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $3.33	Professional		$2.72	$2.72	$3.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $24.62 / $36.86	Professional		$16.11	$24.62	$36.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $14.34 / $28.53	Facility		$3.85	$14.34	$28.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.67 / $6.20	Professional		$3.12	$3.67	$6.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.89 / $8.15	Professional		$6.61	$6.89	$8.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.99 / $5.20	Facility		$4.63	$4.99	$5.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $8.35 / $12.00	Professional		$3.54	$8.35	$12.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $7.60 / $4,071.00	Facility		$4.28	$7.60	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $7.60 / $4,071.00	Professional		$4.28	$7.60	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.19 / $4.55	Professional		$2.31	$3.19	$4.55