Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.50 / $28.84	Facility		$10.00	$19.50	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.59	Professional		$10.00	$10.00	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $19.50 / $35.48	Facility		$10.47	$19.50	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $17.38	Professional		$10.47	$10.47	$17.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.22	Professional		$10.47	$10.47	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.47 / $10.47	Facility		$9.77	$10.47	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $12.02	Professional		$8.91	$10.47	$12.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $6.61	Professional		$4.90	$4.90	$6.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.96 / $17.78	Facility		$9.55	$10.96	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.47 / $10.47	Professional		$9.77	$10.47	$10.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.48 / $15.14	Facility		$9.77	$11.48	$15.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.48 / $15.14	Professional		$9.77	$11.48	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $17.38	Facility		$10.47	$10.47	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $12.02	Professional		$10.47	$10.96	$12.02