Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $13.60 / $851.04	Facility		$3.11	$13.60	$851.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.27 / $5.66	Professional		$3.11	$3.27	$5.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.23 / $7.89	Professional		$4.59	$5.23	$7.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $2.94 / $3.11	Facility		$2.94	$2.94	$3.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.73 / $5.73	Professional		$2.64	$3.73	$5.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $5.66 / $6.78	Facility		$3.11	$5.66	$6.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.76 / $6.15	Facility		$2.95	$3.76	$6.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.76 / $6.15	Professional		$2.95	$3.76	$6.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.27	Professional		$3.11	$3.11	$3.27