Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $45.71 / $2,754.23	Facility		$2.00	$45.71	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $53.70	Professional		$2.00	$2.00	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.37 / $9.12	Facility		$2.69	$5.37	$9.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $4.79	Professional		$2.69	$2.69	$4.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.69 / $2.69	Professional		$2.45	$2.69	$2.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.69 / $2.69	Facility		$2.51	$2.69	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.69 / $13.49	Professional		$2.29	$2.69	$13.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $46.77	Professional		$34.67	$34.67	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.24 / $54.95	Facility		$2.24	$3.24	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $6.31	Professional		$1.86	$1.86	$6.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.69 / $3.98	Facility		$1.51	$2.69	$3.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.69 / $3.98	Professional		$1.51	$2.69	$3.98
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.82 / $3.16	Professional		$2.69	$2.82	$3.16