Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $4.27 / $5.75	Facility		$2.00	$4.27	$5.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $6.61	Professional		$2.00	$2.00	$6.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.89 / $6.92	Facility		$2.04	$3.89	$6.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $3.39	Professional		$2.04	$2.04	$3.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.88	Professional		$2.04	$2.04	$2.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.04 / $2.04	Facility		$1.95	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.04 / $19.05	Professional		$1.74	$2.04	$19.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $26.30	Professional		$18.62	$18.62	$26.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.24 / $28.84	Facility		$2.04	$3.24	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $15.85	Professional		$5.75	$5.75	$15.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.69 / $6.31	Facility		$1.95	$2.69	$6.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.69 / $6.31	Professional		$1.95	$2.69	$6.31
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.04 / $2.04	Facility		$1.23	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.19 / $2.40	Professional		$1.82	$2.19	$2.40