Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $28.18	Professional		$18.20	$19.95	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $30.90	Professional		$28.18	$28.18	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $30.90	Facility		$23.44	$23.44	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $30.90	Professional		$19.95	$23.44	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $43.65	Professional		$27.54	$30.90	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.89 / $43.65	Facility		$11.75	$20.89	$43.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $4.17 / $33.11	Facility		$2.24	$4.17	$33.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $4.17 / $33.11	Professional		$2.24	$4.17	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $12.30 / $21.88	Facility		$1.51	$12.30	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $30.20	Professional		$15.49	$19.95	$30.20