Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $257.04 / $1,174.90	Facility		$52.48	$257.04	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $36.31 / $407.38	Professional		$3.80	$36.31	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.19	Professional		$0.11	$0.11	$0.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.18	Professional		$0.11	$0.11	$0.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $0.11	Facility		$0.10	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.11 / $1.26	Professional		$0.09	$0.11	$1.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.04	Professional		$1.58	$1.58	$2.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.18 / $2.19	Facility		$0.11	$0.18	$2.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $0.54	Professional		$0.42	$0.42	$0.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.13 / $0.47	Facility		$0.10	$0.13	$0.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.13 / $0.47	Professional		$0.10	$0.13	$0.47
United Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Facility		$0.20	$0.20	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.13	Professional		$0.11	$0.12	$0.13