Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $22.91	Facility		$21.88	$21.88	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $23.99	Professional		$16.22	$21.88	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $75.86	Facility		$21.88	$43.65	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $37.15	Professional		$21.38	$21.88	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $51.29	Professional		$30.20	$33.88	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $21.88 / $21.88	Professional		$9.33	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $26.30	Professional		$18.62	$21.88	$26.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $33.88	Facility		$18.62	$21.88	$33.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.39 / $33.11	Facility		$21.38	$22.39	$33.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.39 / $33.11	Professional		$21.38	$22.39	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $36.31	Facility		$21.88	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $25.70	Professional		$19.95	$23.99	$25.70