Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $13.86	Facility		$12.68	$12.68	$13.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $13.86 / $17.18	Professional		$12.68	$13.86	$17.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $26.84	Professional		$20.03	$20.03	$26.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $11.69	Professional		$11.69	$11.69	$11.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $24.04 / $24.04	Facility		$24.04	$24.04	$24.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $24.00 / $32.82	Professional		$17.43	$24.00	$32.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $20.79 / $52.53	Facility		$12.68	$20.79	$52.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $32.00 / $48.07	Professional		$13.53	$32.00	$48.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $38.35 / $76.44	Facility		$17.96	$38.35	$76.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $38.35 / $76.44	Professional		$17.96	$38.35	$76.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $10.24 / $17.05	Professional		$9.21	$10.24	$17.05