Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.00 / $2.24	Facility		$1.00	$2.00	$2.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.40	Professional		$1.00	$2.00	$2.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.69 / $3.80	Professional		$1.82	$2.69	$3.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.82 / $3.80	Professional		$2.40	$2.82	$3.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.01	Professional		$2.00	$3.02	$5.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.40 / $3.24	Professional		$1.78	$2.40	$3.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.51 / $3.80	Facility		$2.09	$2.51	$3.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.75 / $4.47	Facility		$2.00	$2.75	$4.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.75 / $4.47	Professional		$2.00	$2.75	$4.47
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.51 / $4.27	Professional		$1.74	$2.51	$4.27