Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $16.73	Professional		$12.46	$12.46	$16.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $34.01 / $34.01	Facility		$34.01	$34.01	$34.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Professional		$28.91	$28.91	$28.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $50.00	Professional		$45.00	$45.00	$50.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $21.20 / $33.79	Facility		$20.00	$21.20	$33.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Professional		$15.50	$15.50	$15.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $34.15 / $9,929.00	Facility		$25.87	$34.15	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $34.15 / $9,929.00	Professional		$25.87	$34.15	$9,929.00