Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $52.87 / $272.79	Facility		$2.79	$52.87	$272.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.28 / $1.35	Professional		$1.22	$1.28	$1.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.98 / $2.99	Professional		$1.74	$1.98	$2.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.14 / $1.22	Facility		$1.14	$1.14	$1.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.46 / $5.46	Professional		$1.04	$1.46	$5.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $11.68	Facility		$1.22	$1.22	$11.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.48 / $3.28	Facility		$1.15	$1.48	$3.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.48 / $3.28	Professional		$1.15	$1.48	$3.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.53	Professional		$1.22	$1.22	$1.53