Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $13.75 / $27.34	Facility		$12.28	$13.75	$27.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $14.51	Professional		$12.28	$12.28	$14.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $25.42 / $40.15	Facility		$12.28	$25.42	$40.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $17.05	Professional		$12.28	$12.28	$17.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $12.29	Professional		$11.99	$11.99	$12.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $12.28	Facility		$11.59	$11.59	$12.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $12.28 / $28.98	Professional		$10.44	$12.28	$28.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $14.19 / $31.20	Facility		$12.28	$14.19	$31.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $28.00 / $43.00	Professional		$13.09	$28.00	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $14.74 / $31.20	Facility		$12.28	$14.74	$31.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $14.74 / $31.20	Professional		$12.28	$14.74	$31.20
United Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $53.96 / $53.96	Facility		$53.96	$53.96	$53.96
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $13.02 / $14.49	Professional		$12.28	$13.02	$14.49