Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $32.65 / $61.61	Facility		$14.63	$32.65	$61.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $14.63 / $14.63	Professional		$12.91	$14.63	$14.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $83.81 / $105.84	Facility		$65.36	$83.81	$105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $11.65	Professional		$7.65	$7.65	$11.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $13.77 / $26.85	Professional		$13.77	$13.77	$26.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $32.17 / $88.90	Facility		$11.19	$32.17	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $25.18	Professional		$21.01	$21.01	$25.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $20.65 / $25.47	Professional		$17.21	$20.65	$25.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $17.21 / $26.77	Facility		$13.68	$17.21	$26.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $31.00 / $41.30	Professional		$17.21	$31.00	$41.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $17.21 / $27.60	Facility		$12.05	$17.21	$27.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $17.21 / $27.60	Professional		$12.05	$17.21	$27.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $8.94 / $23.43	Professional		$7.23	$8.94	$23.43