Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $33.02	Professional		$26.86	$26.86	$33.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $12.98 / $64.00	Facility		$11.58	$12.98	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $7.65	Professional		$7.65	$7.65	$7.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $34.00 / $34.00	Professional		$32.00	$34.00	$34.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $38.08	Facility		$25.00	$25.00	$38.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $16.20 / $35.00	Facility		$14.25	$16.20	$35.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $16.20 / $35.00	Professional		$14.25	$16.20	$35.00