Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.13 / $18.62	Facility		$6.03	$14.13	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $7.76	Professional		$6.03	$6.03	$7.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.49 / $22.91	Facility		$6.76	$13.49	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $11.22	Professional		$6.76	$6.76	$11.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.99 / $36.31	Professional		$21.38	$23.99	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.76 / $6.76	Facility		$6.31	$6.76	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $83.18	Professional		$5.75	$6.76	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $16.60	Facility		$6.76	$6.76	$16.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $8.13 / $74.13	Facility		$6.31	$8.13	$74.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.13 / $74.13	Professional		$6.31	$8.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $35.48	Facility		$16.22	$21.88	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.76 / $8.51	Professional		$6.46	$6.76	$8.51