Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $45.75 / $97.84	Facility		$5.69	$45.75	$97.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.72 / $4.04	Professional		$3.20	$3.72	$4.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $20.79	Facility		$4.26	$4.26	$20.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.58	Professional		$2.11	$2.11	$2.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $19.30 / $28.91	Professional		$12.64	$19.30	$28.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $11.08 / $21.82	Facility		$2.98	$11.08	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.89 / $4.96	Professional		$2.42	$2.89	$4.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $5.34 / $6.32	Professional		$5.12	$5.34	$6.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.72 / $4.42	Facility		$3.54	$3.72	$4.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $6.46 / $9.00	Professional		$3.22	$6.46	$9.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $5.96 / $42.65	Facility		$3.33	$5.96	$42.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $5.86 / $4,071.00	Professional		$3.33	$5.86	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.50 / $3.39	Professional		$1.79	$2.50	$3.39