Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Facility		$12.43	$12.43	$12.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $12.43 / $17.30	Professional		$10.44	$12.43	$17.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $16.88	Professional		$16.88	$16.88	$16.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $16.12	Professional		$16.12	$16.12	$16.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $13.81 / $16.39	Facility		$13.81	$13.81	$16.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $13.81 / $18.12	Professional		$11.74	$13.81	$18.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $17.23 / $24.13	Professional		$15.21	$17.23	$24.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $11.56 / $24.68	Facility		$7.84	$11.56	$24.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $21.53	Professional		$21.53	$21.53	$21.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $8.92 / $22.43	Facility		$1.33	$8.92	$22.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $8.92 / $21.51	Professional		$1.33	$8.92	$21.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.78 / $17.75	Professional		$10.11	$11.78	$17.75