Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $54.95 / $100.00	Facility		$20.89	$54.95	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $64.57 / $138.04	Professional		$1.51	$64.57	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.10	Professional		$0.07	$0.07	$0.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.12	Professional		$0.07	$0.07	$0.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Facility		$0.07	$0.07	$0.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Professional		$0.07	$0.07	$0.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.07 / $0.41	Professional		$0.06	$0.07	$0.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Professional		$0.07	$0.07	$0.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.09 / $0.16	Facility		$0.07	$0.09	$0.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.09 / $0.12	Facility		$0.07	$0.09	$0.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.09 / $0.12	Professional		$0.07	$0.09	$0.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.13 / $0.13	Facility		$0.08	$0.13	$0.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.09	Professional		$0.07	$0.07	$0.09