Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $16.98	Professional		$10.96	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $18.62	Professional		$17.38	$17.38	$18.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $16.60	Facility		$14.45	$14.45	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $18.62	Professional		$12.30	$14.45	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $26.30	Professional		$16.60	$20.42	$26.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $17.38	Professional		$13.80	$13.80	$17.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.13 / $23.99	Facility		$7.41	$14.13	$23.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $11.48 / $21.38	Facility		$1.51	$11.48	$21.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $9.77 / $19.95	Professional		$1.51	$9.77	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $7.76 / $15.14	Facility		$0.98	$7.76	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $18.20	Professional		$10.00	$11.48	$18.20