Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3,633.00 / $8,920.00	Facility		$2.54	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.54 / $6.43	Professional		$2.49	$2.54	$6.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $9.09 / $18.45	Facility		$9.09	$9.09	$18.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $4.57	Professional		$1.20	$1.20	$4.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $9.72 / $14.55	Professional		$6.36	$9.72	$14.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $6.05 / $40.08	Facility		$2.54	$6.05	$40.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.58 / $9.38	Professional		$1.37	$1.58	$9.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $11.36 / $13.45	Professional		$10.91	$11.36	$13.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $4.46 / $8.18	Facility		$4.46	$4.46	$8.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $5.57	Professional		$3.00	$3.00	$5.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.00 / $9,929.00	Facility		$2.00	$3.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.00 / $9,929.00	Professional		$2.00	$3.00	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.50 / $4.29	Professional		$1.26	$1.50	$4.29