Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $192.89 / $1,127.33	Facility		$0.13	$192.89	$1,127.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.19	Professional		$0.10	$0.10	$0.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Professional		$0.10	$0.10	$0.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.12	Professional		$0.11	$0.12	$0.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $1.35	Professional		$0.09	$0.10	$1.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.20 / $1.93	Facility		$0.10	$0.20	$1.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $2.00 / $4.00	Professional		$0.20	$2.00	$4.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $0.52	Facility		$0.10	$0.12	$0.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.52	Professional		$0.10	$0.12	$0.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.12	Professional		$0.10	$0.11	$0.12