Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $12.48 / $12.48	Facility		$11.88	$12.48	$12.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.48	Professional		$11.88	$11.88	$12.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $15.92	Professional		$11.88	$11.88	$15.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $16.12	Professional		$9.36	$9.36	$16.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.21 / $11.88	Facility		$11.21	$11.21	$11.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Professional		$11.88	$11.88	$11.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.88 / $12.14	Professional		$10.10	$11.88	$12.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $12.48 / $20.07	Facility		$11.88	$12.48	$20.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $20.35 / $32.18	Professional		$11.88	$20.35	$32.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $12.83 / $17.55	Facility		$11.70	$12.83	$17.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $12.83 / $17.55	Professional		$11.70	$12.83	$17.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $13.49	Professional		$11.88	$11.88	$13.49