Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $3.34 / $784.08	Facility		$1.22	$3.34	$784.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.23 / $1.92	Professional		$1.22	$1.23	$1.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $2.52 / $3.99	Facility		$1.22	$2.52	$3.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.63	Professional		$1.22	$1.22	$1.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.59 / $1.59	Professional		$1.22	$1.59	$1.59
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 / $1.22 / $15.05	Professional		$1.04	$1.22	$15.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $2.48 / $29.24	Facility		$1.22	$2.48	$29.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $8.00 / $57.00	Professional		$1.70	$8.00	$57.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.46 / $9.23	Facility		$1.22	$1.46	$9.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.46 / $9.23	Professional		$1.22	$1.46	$9.23
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.29 / $1.44	Professional		$1.22	$1.29	$1.44