Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $46.12 / $107.21	Facility		$14.30	$46.12	$107.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.00 / $39.20	Professional		$20.00	$21.00	$39.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $47.16 / $75.98	Facility		$22.35	$47.16	$75.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $34.78 / $52.49	Professional		$30.57	$34.78	$52.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $23.53 / $34.20	Facility		$22.35	$23.53	$34.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $22.35 / $29.04	Facility		$21.14	$22.35	$29.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $22.35 / $29.04	Professional		$21.14	$22.35	$29.04
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.53 / $28.54	Professional		$22.35	$23.53	$28.54