Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.81 / $3.81	Facility		$3.63	$3.81	$3.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.81 / $4.03	Professional		$3.62	$3.81	$4.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $7.66 / $12.34	Facility		$3.63	$7.66	$12.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $16.02 / $24.18	Professional		$14.08	$16.02	$24.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.63	Facility		$3.43	$3.43	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.36 / $8.01	Professional		$3.09	$4.36	$8.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $5.80	Facility		$3.63	$3.63	$5.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $4.38 / $25.15	Facility		$3.45	$4.38	$25.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.38 / $25.15	Professional		$3.45	$4.38	$25.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.63 / $4.55	Professional		$3.57	$3.63	$4.55