Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $20.89	Professional		$14.13	$16.98	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $23.44	Professional		$21.38	$21.38	$23.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $24.55	Facility		$18.62	$18.62	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $24.55	Professional		$15.85	$18.62	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $32.36	Professional		$20.89	$25.12	$32.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.88	Professional		$16.98	$16.98	$21.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $17.38 / $29.51	Facility		$9.33	$17.38	$29.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $14.45 / $26.30	Facility		$1.82	$14.45	$26.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $11.75 / $25.12	Professional		$1.82	$11.75	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $9.77 / $18.62	Facility		$1.20	$9.77	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $22.39	Professional		$12.30	$14.45	$22.39