Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $65.00	Professional		$40.00	$40.00	$65.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $60.00 / $80.00	Professional		$48.00	$60.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $60.00	Facility		$45.00	$60.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $62.50	Professional		$45.00	$60.00	$62.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $75.00 / $92.00	Professional		$40.00	$75.00	$92.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $33.90	Facility		$30.00	$30.00	$33.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $38.00 / $98.82	Facility		$30.60	$38.00	$98.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $40.00 / $98.82	Professional		$30.60	$40.00	$98.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00