Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $31.67 / $77.59	Facility		$14.14	$31.67	$77.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $32.69 / $63.02	Professional		$31.67	$32.69	$63.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $66.81 / $107.68	Facility		$31.67	$66.81	$107.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $28.47 / $28.47	Professional		$28.47	$28.47	$28.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $47.90 / $72.28	Professional		$42.09	$47.90	$72.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Facility		$32.76	$32.76	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $32.76 / $32.76	Professional		$16.20	$32.76	$32.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.95 / $38.00	Professional		$26.92	$34.95	$38.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $31.67 / $48.34	Facility		$23.22	$31.67	$48.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $40.00 / $40.00	Professional		$29.00	$40.00	$40.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $32.01 / $43.06	Facility		$31.35	$32.01	$43.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $32.01 / $43.06	Professional		$31.35	$32.01	$43.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $34.95 / $35.11	Professional		$29.26	$34.95	$35.11