Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $33.88	Facility		$12.02	$25.70	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Professional		$12.02	$12.02	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $24.55 / $41.69	Facility		$12.02	$24.55	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $20.42	Professional		$12.02	$12.02	$20.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.05 / $28.18	Professional		$16.60	$19.05	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.02 / $12.02	Facility		$11.48	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $14.45	Professional		$10.23	$12.02	$14.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $17.78	Facility		$12.02	$12.02	$17.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.88 / $17.78	Facility		$11.48	$12.88	$17.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $17.78	Professional		$11.48	$12.88	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $19.95	Facility		$12.02	$12.02	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.02 / $14.45	Professional		$11.75	$12.02	$14.45