Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.20 / $77.62	Facility		$14.20	$14.20	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $14.20 / $17.39	Professional		$11.15	$14.20	$17.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $15.52	Professional		$10.19	$10.19	$15.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $12.82 / $12.82	Professional		$12.82	$12.82	$12.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $26.93	Facility		$13.80	$13.80	$26.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $26.89 / $36.77	Professional		$19.53	$26.89	$36.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $18.07 / $31.72	Facility		$14.12	$18.07	$31.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $35.00 / $53.86	Professional		$15.14	$35.00	$53.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $20.12 / $35.99	Facility		$16.44	$20.12	$35.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $20.12 / $35.99	Professional		$16.44	$20.12	$35.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.46 / $18.91	Professional		$10.36	$11.46	$18.91