Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $6.25 / $12.43	Facility		$4.69	$6.25	$12.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.93 / $5.21	Professional		$4.69	$4.93	$5.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $9.90 / $15.95	Facility		$4.69	$9.90	$15.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.04 / $16.66	Professional		$9.69	$11.04	$16.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.43 / $4.69	Facility		$4.43	$4.43	$4.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.63 / $21.64	Professional		$3.99	$5.63	$21.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $7.51	Facility		$4.69	$4.69	$7.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $5.67 / $19.26	Facility		$4.46	$5.67	$19.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.67 / $19.26	Professional		$4.46	$5.67	$19.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.69 / $5.89	Professional		$4.55	$4.69	$5.89