Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $72.54 / $127.97	Facility		$2.41	$72.54	$127.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.31 / $4.37	Professional		$2.29	$2.31	$4.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.49	Professional		$2.29	$2.29	$3.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.29	Professional		$1.95	$1.95	$2.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.16 / $2.29	Facility		$2.16	$2.16	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $10.03	Professional		$1.95	$2.29	$10.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $3.32 / $7.41	Facility		$2.29	$3.32	$7.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.00 / $9.69	Professional		$2.00	$3.00	$9.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.75 / $4.94	Facility		$2.29	$2.75	$4.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.75 / $4.94	Professional		$2.29	$2.75	$4.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.43 / $9.49	Professional		$2.29	$2.43	$9.49