Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $3.94 / $4,856.85	Facility		$1.85	$3.94	$4,856.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.94 / $1.94	Professional		$1.85	$1.94	$1.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $3.90 / $6.29	Facility		$1.85	$3.90	$6.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.85 / $4.30	Professional		$2.50	$2.85	$4.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.85	Facility		$1.74	$1.74	$1.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.09 / $2.22	Professional		$1.57	$2.09	$2.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.85 / $2.70	Facility		$0.95	$1.85	$2.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $1.85 / $2.37	Facility		$1.72	$1.85	$2.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.85 / $2.37	Professional		$1.72	$1.85	$2.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.85 / $2.09	Professional		$1.82	$1.85	$2.09