Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.02 / $20.89	Facility		$10.96	$12.02	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $33.88	Professional		$10.00	$19.05	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $41.69	Professional		$13.18	$23.99	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $14.79	Professional		$10.00	$10.47	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $38.90	Professional		$12.88	$21.88	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.84 / $40.74	Professional		$14.79	$28.84	$40.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $30.20	Professional		$18.20	$22.39	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $21.88 / $38.90	Facility		$11.75	$21.88	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $107.15	Professional		$12.88	$16.22	$107.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.60 / $24.55	Facility		$12.88	$16.60	$24.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $44.67	Professional		$21.88	$27.54	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.50 / $34.67	Professional		$11.22	$19.50	$34.67