Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $6.55 / $13.02	Facility		$5.64	$6.55	$13.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.92 / $5.92	Professional		$5.64	$5.92	$5.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $11.90 / $19.18	Facility		$5.64	$11.90	$19.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $8.38 / $12.65	Professional		$7.37	$8.38	$12.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.32 / $5.64	Facility		$5.32	$5.32	$5.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.77 / $7.90	Professional		$4.79	$6.77	$7.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $6.84 / $8.66	Facility		$5.64	$6.84	$8.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $6.34 / $7.51	Facility		$5.36	$6.34	$7.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $6.34 / $7.51	Professional		$5.36	$6.34	$7.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.64 / $7.08	Professional		$5.47	$5.64	$7.08