Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $7.76 / $1,122.02	Facility		$3.02	$7.76	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.98	Professional		$3.02	$3.02	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $6.92 / $11.48	Facility		$3.39	$6.92	$11.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $5.75	Professional		$3.39	$3.39	$5.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $9.12	Professional		$5.37	$6.03	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.39 / $3.39	Facility		$3.24	$3.39	$3.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.39 / $12.02	Professional		$2.88	$3.39	$12.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $10.00 / $21.88	Facility		$3.39	$10.00	$21.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.17 / $10.72	Facility		$3.24	$4.17	$10.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.17 / $10.72	Professional		$3.24	$4.17	$10.72
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.47 / $7.41	Facility		$3.55	$4.47	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.39 / $4.27	Professional		$3.31	$3.39	$4.27