Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $12.23 / $12.23	Facility		$12.23	$12.23	$12.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $12.23 / $15.26	Professional		$9.83	$12.23	$15.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Facility		$20.04	$20.04	$20.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Professional		$14.74	$14.74	$14.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.29 / $13.70	Professional		$12.29	$12.29	$13.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $14.26	Facility		$13.24	$13.24	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.24 / $17.38	Professional		$11.25	$13.24	$17.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $17.03 / $22.04	Professional		$14.03	$17.03	$22.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $11.64 / $20.05	Facility		$6.36	$11.64	$20.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $9.88 / $18.19	Facility		$1.37	$9.88	$18.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $8.34 / $17.45	Professional		$1.30	$8.34	$17.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.97 / $15.19	Professional		$9.46	$9.97	$15.19