Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Facility		$14.05	$14.05	$14.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $14.05 / $17.68	Professional		$11.36	$14.05	$17.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $23.36 / $23.36	Facility		$23.36	$23.36	$23.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $15.88	Professional		$14.20	$14.20	$15.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $20.03	Facility		$15.26	$15.26	$20.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $15.26 / $20.03	Professional		$12.97	$15.26	$20.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $19.86 / $25.77	Professional		$16.39	$19.86	$25.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $13.48 / $23.51	Facility		$7.47	$13.48	$23.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $11.58 / $21.36	Facility		$1.50	$11.58	$21.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $9.63 / $20.49	Professional		$1.50	$9.63	$20.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $11.57 / $17.82	Professional		$9.96	$11.57	$17.82