Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $15.14	Facility		$12.02	$12.02	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $35.48	Professional		$10.00	$15.14	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $27.54	Professional		$12.59	$17.38	$27.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $28.18	Professional		$19.95	$19.95	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.50 / $19.50	Facility		$17.78	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $30.20	Professional		$14.13	$18.20	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $23.44	Professional		$12.30	$17.38	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.14 / $23.44	Facility		$10.96	$15.14	$23.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $22.91	Professional		$13.18	$13.18	$22.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.22 / $24.55	Facility		$12.88	$16.22	$24.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $28.18	Professional		$14.79	$19.05	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $26.30	Professional		$10.72	$15.85	$26.30