Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $8.58 / $11.37	Facility		$4.09	$8.58	$11.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.30 / $4.30	Professional		$4.09	$4.30	$4.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $8.65 / $13.94	Facility		$4.09	$8.65	$13.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.06 / $9.14	Professional		$5.32	$6.06	$9.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $4.09	Facility		$3.87	$3.87	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $4.92 / $5.35	Professional		$3.49	$4.92	$5.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.09 / $5.97	Facility		$2.63	$4.09	$5.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $4.29 / $5.25	Facility		$3.90	$4.29	$5.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $4.29 / $5.25	Professional		$3.90	$4.29	$5.25
United Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $14.97 / $14.97	Facility		$14.97	$14.97	$14.97
United Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.09 / $5.35	Professional		$4.03	$4.09	$5.35