Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $12.83 / $12.83	Facility		$10.62	$12.83	$12.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $12.17 / $12.83	Professional		$10.62	$12.17	$12.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $25.95 / $27.56	Facility		$25.95	$25.95	$27.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $11.52 / $15.33	Professional		$11.52	$11.52	$15.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $17.73	Professional		$14.00	$14.00	$17.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Facility		$13.34	$13.34	$13.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $13.34	Professional		$9.74	$9.74	$13.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $23.36 / $31.14	Professional		$18.17	$23.36	$31.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $14.77 / $28.88	Facility		$6.34	$14.77	$28.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $32.44 / $43.23	Professional		$11.00	$32.44	$43.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $19.59 / $32.49	Facility		$14.95	$19.59	$32.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $19.59 / $32.49	Professional		$14.95	$19.59	$32.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $12.95 / $19.51	Professional		$9.82	$12.95	$19.51