Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.34 / $6.61	Facility		$3.06	$3.34	$6.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.06 / $3.06	Professional		$2.88	$3.06	$3.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $3.99	Professional		$2.88	$2.88	$3.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.46 / $1.46	Professional		$1.46	$1.46	$1.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $85.00	Facility		$3.06	$3.06	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $46.56 / $62.00	Professional		$31.04	$46.56	$62.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $3.15 / $49.95	Facility		$2.52	$3.15	$49.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.15 / $67.52	Professional		$1.00	$3.15	$67.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Facility		$12.48	$12.48	$12.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.18	Professional		$3.00	$3.00	$3.18