Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $13.99 / $27.78	Facility		$6.96	$13.99	$27.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $6.12 / $6.96	Professional		$5.53	$6.12	$6.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $7.37 / $35.89	Facility		$7.37	$7.37	$35.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $4.45	Professional		$3.64	$3.64	$4.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $33.36 / $49.96	Professional		$21.84	$33.36	$49.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $19.32 / $38.56	Facility		$5.15	$19.32	$38.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.99 / $8.67	Professional		$4.17	$4.99	$8.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $9.21 / $10.91	Professional		$8.84	$9.21	$10.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $7.97 / $7.97	Facility		$6.18	$7.97	$7.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.13 / $16.00	Professional		$8.03	$10.13	$16.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $10.09 / $4,071.00	Facility		$5.73	$10.09	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $10.02 / $4,071.00	Professional		$5.73	$10.02	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Facility		$3.10	$3.10	$3.10
United Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.34 / $6.88	Professional		$3.10	$4.34	$6.88