Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $12.97 / $13.10	Facility		$12.97	$12.97	$13.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $12.97 / $14.38	Professional		$11.80	$12.97	$14.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $24.59 / $26.11	Facility		$24.59	$24.59	$26.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $22.47	Professional		$17.98	$17.98	$22.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.80	Professional		$13.00	$13.00	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $16.29 / $16.29	Facility		$13.14	$16.29	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $16.29	Professional		$11.89	$11.89	$16.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $22.13 / $29.51	Professional		$17.21	$22.13	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $15.17 / $28.28	Facility		$7.52	$15.17	$28.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $32.29 / $40.95	Professional		$17.00	$32.29	$40.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $18.48 / $30.79	Facility		$14.19	$18.48	$30.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $18.48 / $30.79	Professional		$14.19	$18.48	$30.79
United Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $31.12 / $37.34	Facility		$31.12	$31.12	$37.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $12.27 / $17.95	Professional		$11.09	$12.27	$17.95