Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $22.91	Professional		$10.96	$12.88	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Facility		$25.70	$25.70	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $37.15	Professional		$17.78	$17.78	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.78	Professional		$14.13	$14.13	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.98 / $16.98	Facility		$11.48	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $16.98	Professional		$12.30	$12.30	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $36.31	Professional		$18.20	$25.70	$36.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $25.12	Professional		$14.45	$16.98	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.50 / $35.48	Facility		$11.75	$19.50	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.85 / $16.98	Professional		$13.80	$15.85	$16.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.89 / $89.13	Facility		$14.45	$20.89	$89.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.89 / $89.13	Professional		$14.45	$20.89	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $19.05 / $34.67	Facility		$9.55	$19.05	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.59 / $19.50	Professional		$11.75	$12.59	$19.50