Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $19.39 / $1,636.00	Facility		$7.06	$19.39	$1,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.80 / $12.09	Professional		$6.73	$6.80	$12.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $13.93 / $22.01	Facility		$6.73	$13.93	$22.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $9.02	Professional		$6.73	$6.73	$9.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.97 / $6.97	Professional		$6.73	$6.97	$6.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.35 / $6.73	Facility		$6.35	$6.35	$6.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.73 / $60.58	Professional		$5.72	$6.73	$60.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $16.86 / $114.89	Facility		$6.73	$16.86	$114.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $104.00 / $228.00	Professional		$10.00	$104.00	$228.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $8.08 / $19.50	Facility		$6.73	$8.08	$19.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.08 / $19.50	Professional		$6.73	$8.08	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.13 / $7.94	Professional		$6.73	$7.13	$7.94