Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $19.95	Professional		$11.48	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $21.88	Professional		$19.50	$19.50	$21.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $22.39	Facility		$15.85	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $21.38	Professional		$13.49	$15.85	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $28.18	Professional		$17.78	$20.42	$28.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $26.92	Professional		$20.89	$20.89	$26.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.45 / $36.31	Facility		$11.48	$14.45	$36.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $3.80 / $27.54	Facility		$1.74	$3.80	$27.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.80 / $27.54	Professional		$1.74	$3.80	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $7.94 / $17.38	Facility		$1.38	$7.94	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $26.30	Professional		$12.88	$15.49	$26.30