Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $8.91 / $25.70	Facility		$7.94	$8.91	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $18.20	Professional		$7.94	$10.00	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $21.88	Facility		$20.42	$20.42	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $24.55	Professional		$11.75	$11.75	$24.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $14.13	Professional		$12.88	$12.88	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.49 / $13.49	Facility		$8.71	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.49	Professional		$9.77	$9.77	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $28.84	Professional		$14.45	$20.42	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $20.42	Professional		$10.47	$13.49	$20.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.49 / $25.70	Facility		$8.32	$13.49	$25.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $25.70	Professional		$10.96	$12.59	$25.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.98 / $70.79	Facility		$11.75	$16.98	$70.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $70.79	Professional		$11.75	$16.98	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.12 / $29.51	Facility		$6.92	$9.12	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $16.22	Professional		$9.12	$10.00	$16.22