Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $23.44 / $30.90	Facility		$10.96	$23.44	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $12.02	Professional		$10.96	$10.96	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $22.39 / $38.02	Facility		$11.22	$22.39	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $18.62	Professional		$11.22	$11.22	$18.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.98 / $25.70	Professional		$14.79	$16.98	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.22 / $11.22	Facility		$10.47	$11.22	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.22 / $15.85	Professional		$9.55	$11.22	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $11.22 / $18.20	Facility		$5.13	$11.22	$18.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $11.22 / $16.60	Facility		$10.72	$11.22	$16.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.22 / $16.60	Professional		$10.72	$11.22	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.22 / $17.38	Facility		$10.47	$11.22	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.22 / $14.13	Professional		$10.96	$11.22	$14.13