Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $17.48 / $27.05	Facility		$10.68	$17.48	$27.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.78 / $12.36	Professional		$10.68	$10.78	$12.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $22.11 / $34.92	Facility		$10.68	$22.11	$34.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $14.34	Professional		$10.68	$10.68	$14.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $9.73 / $10.67	Professional		$9.73	$9.73	$10.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.07 / $10.68	Facility		$10.07	$10.07	$10.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Professional		$10.68	$10.68	$10.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $10.68 / $41.40	Professional		$9.08	$10.68	$41.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $15.64 / $57.94	Facility		$10.68	$15.64	$57.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $34.56 / $53.00	Professional		$16.00	$34.56	$53.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $12.82 / $42.00	Facility		$10.68	$12.82	$42.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.82 / $42.00	Professional		$10.68	$12.82	$42.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.32 / $12.71	Professional		$10.68	$11.32	$12.71