Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $32.36	Professional		$20.89	$25.12	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $35.48	Professional		$33.11	$33.11	$35.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Facility		$26.92	$26.92	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $35.48	Professional		$22.91	$26.92	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $48.98	Professional		$30.90	$35.48	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.12 / $46.77	Facility		$12.59	$25.12	$46.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.01 / $35.48	Facility		$2.69	$5.01	$35.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.01 / $35.48	Professional		$2.69	$5.01	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $13.18 / $25.12	Facility		$1.62	$13.18	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.39 / $33.88	Professional		$16.60	$22.39	$33.88