Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $7.08 / $397.29	Facility		$3.26	$7.08	$397.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.29 / $4.13	Professional		$3.26	$3.29	$4.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $6.75 / $10.66	Facility		$3.26	$6.75	$10.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $4.45	Professional		$3.26	$3.26	$4.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.26	Professional		$3.13	$3.13	$3.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.08 / $3.26	Facility		$3.08	$3.08	$3.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $3.26	Professional		$3.26	$3.26	$3.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.26 / $4.37	Professional		$2.77	$3.26	$4.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.42 / $5.36	Facility		$2.82	$3.42	$5.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.00 / $6.94	Professional		$2.89	$4.00	$6.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.91 / $4.88	Facility		$3.26	$3.91	$4.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.91 / $4.88	Professional		$3.26	$3.91	$4.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.46 / $3.74	Professional		$3.26	$3.46	$3.74