Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $13.07 / $13.07	Facility		$13.07	$13.07	$13.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.07 / $17.57	Professional		$10.96	$13.07	$17.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.74 / $21.74 / $21.74	Facility		$21.74	$21.74	$21.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $15.66 / $15.66	Professional		$15.66	$15.66	$15.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $19.14	Facility		$14.58	$14.58	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $14.58 / $19.14	Professional		$12.39	$14.58	$19.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $18.04 / $25.25	Professional		$15.92	$18.04	$25.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $11.90 / $24.30	Facility		$6.66	$11.90	$24.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $18.27 / $18.27	Professional		$18.27	$18.27	$18.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $2.52 / $19.03	Facility		$1.39	$2.52	$19.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.52 / $19.03	Professional		$1.39	$2.52	$19.03
United Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $11.87 / $17.39	Professional		$10.45	$11.87	$17.39