Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $39.81 / $93.33	Facility		$1.70	$39.81	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.32	Professional		$1.00	$1.00	$1.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $2.19	Professional		$1.32	$1.32	$2.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.09 / $3.16	Professional		$1.86	$2.09	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.32 / $1.32	Facility		$1.23	$1.32	$1.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.32 / $4.27	Professional		$1.12	$1.32	$4.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.19 / $3.09	Facility		$1.32	$2.19	$3.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.58 / $3.39	Facility		$1.23	$1.58	$3.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.58 / $3.39	Professional		$1.23	$1.58	$3.39
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.38	Professional		$1.32	$1.32	$1.38