Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $3.88 / $5.14	Facility		$1.88	$3.88	$5.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.90 / $2.35	Professional		$1.88	$1.90	$2.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $3.89 / $6.15	Facility		$1.88	$3.89	$6.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.52	Professional		$1.88	$1.88	$2.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.89	Professional		$1.86	$1.86	$1.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.88	Facility		$1.78	$1.78	$1.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Professional		$1.88	$1.88	$1.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.88 / $20.30	Professional		$1.60	$1.88	$20.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $5.70 / $27.84	Facility		$1.88	$5.70	$27.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $29.89 / $60.00	Professional		$9.19	$29.89	$60.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $2.25 / $6.60	Facility		$1.88	$2.25	$6.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.25 / $6.60	Professional		$1.88	$2.25	$6.60
United Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $2.04 / $3.29	Facility		$1.24	$2.04	$3.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.99 / $2.22	Professional		$1.88	$1.99	$2.22