Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $16.28 / $94.65	Facility		$4.36	$16.28	$94.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.94 / $4.16	Professional		$3.43	$3.94	$4.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $21.43	Facility		$4.40	$4.40	$21.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.66	Professional		$2.18	$2.18	$2.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $19.96 / $29.88	Professional		$13.06	$19.96	$29.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $11.65 / $21.82	Facility		$3.07	$11.65	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.99 / $5.37	Professional		$2.49	$2.99	$5.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $5.50 / $6.51	Professional		$5.28	$5.50	$6.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $4.00 / $4.55	Facility		$3.70	$4.00	$4.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $6.66 / $9.00	Professional		$3.22	$6.66	$9.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $6.19 / $63.01	Facility		$3.42	$6.19	$63.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $6.16 / $4,071.00	Professional		$3.42	$6.16	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $5.28 / $5.28	Facility		$5.28	$5.28	$5.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.60 / $3.70	Professional		$1.85	$2.60	$3.70