Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $96.55 / $1,152.99	Facility		$3.52	$96.55	$1,152.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.70 / $7.60	Professional		$3.52	$3.70	$7.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $7.43 / $11.97	Facility		$3.52	$7.43	$11.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $8.66 / $13.07	Professional		$7.61	$8.66	$13.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.32 / $3.52	Facility		$3.32	$3.32	$3.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $4.22 / $12.09	Professional		$2.99	$4.22	$12.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $9.98 / $21.82	Facility		$3.52	$9.98	$21.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $4.26 / $10.83	Facility		$3.34	$4.26	$10.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.26 / $10.83	Professional		$3.34	$4.26	$10.83
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.52 / $4.42	Professional		$3.46	$3.52	$4.42