Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Facility		$12.02	$12.02	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Professional		$12.02	$12.02	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $30.20	Professional		$14.45	$14.45	$30.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $22.39	Professional		$8.13	$8.13	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Facility		$12.02	$12.02	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $239.88	Professional		$120.23	$151.36	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $14.13	Professional		$10.00	$10.00	$14.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.49 / $26.92	Facility		$12.88	$13.49	$26.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $12.88	Professional		$6.17	$7.59	$12.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $21.38	Facility		$13.80	$16.60	$21.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $21.38	Professional		$13.80	$16.60	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $125.89	Professional		$12.88	$16.22	$125.89