Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $13.12 / $13.12	Facility		$12.49	$13.12	$13.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $13.12	Professional		$12.49	$12.49	$13.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $16.73	Professional		$12.49	$12.49	$16.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $10.24 / $16.91	Professional		$10.24	$10.24	$16.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $12.49	Facility		$11.78	$11.78	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $12.49 / $14.57	Professional		$10.62	$12.49	$14.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.87 / $19.98	Facility		$12.49	$12.87	$19.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.29 / $31.18	Professional		$10.00	$19.29	$31.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $14.25 / $18.57	Facility		$12.38	$14.25	$18.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.25 / $18.57	Professional		$12.38	$14.25	$18.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.19	Professional		$12.49	$12.49	$14.19