Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.57 / $13.06	Facility		$5.73	$6.57	$13.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.74 / $6.30	Professional		$5.73	$5.74	$6.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $11.86 / $18.73	Facility		$5.73	$11.86	$18.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.68	Professional		$5.73	$5.73	$7.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.87	Professional		$5.73	$5.73	$6.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.41 / $5.73	Facility		$5.41	$5.41	$5.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.73 / $8.11	Professional		$4.87	$5.73	$8.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.02 / $9.74	Facility		$5.25	$6.02	$9.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $8.00 / $13.78	Professional		$5.74	$8.00	$13.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.49 / $8.60	Facility		$5.73	$6.49	$8.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.49 / $8.60	Professional		$5.73	$6.49	$8.60
United Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Facility		$5.73	$5.73	$5.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.07 / $6.49	Professional		$5.73	$6.07	$6.49