Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $13.50 / $13.50	Facility		$12.86	$13.50	$13.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.50	Professional		$12.86	$12.86	$13.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $17.16	Professional		$12.86	$12.86	$17.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $21.26	Professional		$8.14	$8.14	$21.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $12.86	Facility		$12.13	$12.13	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.86 / $17.35	Professional		$10.93	$12.86	$17.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $12.86 / $21.97	Facility		$12.11	$12.86	$21.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $14.69 / $36.00	Professional		$9.00	$14.69	$36.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $16.64 / $21.72	Facility		$14.48	$16.64	$21.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $16.64 / $21.72	Professional		$14.48	$16.64	$21.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.64	Professional		$12.86	$12.86	$13.64