Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Facility		$4.54	$4.54	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $153.69	Professional		$125.00	$125.00	$153.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.27	Professional		$6.77	$6.77	$9.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $143.00 / $143.00	Professional		$132.00	$143.00	$143.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $5.13 / $10.70	Facility		$4.54	$5.13	$10.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.70 / $10.70	Professional		$6.88	$10.70	$10.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $10.33 / $16.75	Facility		$6.88	$10.33	$16.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.33 / $16.75	Professional		$6.88	$10.33	$16.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $6.88 / $11.83	Professional		$5.58	$6.88	$11.83