Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $13.28 / $126.98	Facility		$8.15	$13.28	$126.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $8.97	Professional		$8.15	$8.15	$8.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $16.87 / $26.65	Facility		$8.15	$16.87	$26.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $10.94	Professional		$8.15	$8.15	$10.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $8.15	Professional		$5.86	$5.86	$8.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $7.69 / $8.15	Facility		$7.69	$7.69	$8.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $8.15	Professional		$8.15	$8.15	$8.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $8.15 / $44.18	Professional		$6.93	$8.15	$44.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $11.52 / $58.38	Facility		$8.15	$11.52	$58.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $53.00 / $144.00	Professional		$15.78	$53.00	$144.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $9.77 / $45.49	Facility		$8.15	$9.77	$45.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $9.77 / $45.49	Professional		$8.15	$9.77	$45.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.64 / $9.61	Professional		$8.15	$8.64	$9.61