Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $23.80 / $29.75	Professional		$23.80	$23.80	$29.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $36.27	Professional		$36.27	$36.27	$36.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $32.74	Professional		$23.90	$23.90	$32.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $86.00 / $86.00	Professional		$79.00	$86.00	$86.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $38.08	Facility		$25.00	$25.00	$38.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Professional		$31.00	$31.00	$31.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $33.50 / $4,071.00	Facility		$25.63	$33.50	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $33.50 / $1,291.00	Professional		$25.63	$33.50	$1,291.00