Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Facility		$4.38	$4.38	$4.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.38 / $4.38	Professional		$4.12	$4.38	$4.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $14.47 / $23.46	Professional		$14.47	$14.47	$23.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $28.50	Facility		$15.95	$15.95	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $27.32 / $34.83	Professional		$22.77	$27.32	$34.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $5.15 / $25.92	Facility		$4.38	$5.15	$25.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $34.00 / $53.38	Professional		$10.50	$34.00	$53.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $21.28 / $33.90	Facility		$16.42	$21.28	$33.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $21.28 / $33.90	Professional		$16.42	$21.28	$33.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $14.08 / $23.46	Professional		$11.96	$14.08	$23.46