Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $82.87 / $353.49	Facility		$5.57	$82.87	$353.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.16 / $11.31	Professional		$3.13	$3.16	$11.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.76	Professional		$3.13	$3.13	$4.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $3.13	Professional		$2.96	$2.96	$3.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $3.13	Facility		$2.95	$2.95	$3.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.13 / $12.72	Professional		$2.66	$3.13	$12.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $7.52 / $143.00	Facility		$3.13	$7.52	$143.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $8.00 / $20.00	Professional		$4.00	$8.00	$20.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.76 / $11.91	Facility		$3.13	$3.76	$11.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.76 / $11.91	Professional		$3.13	$3.76	$11.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.32 / $13.42	Professional		$3.13	$3.32	$13.42