Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $30.20	Professional		$19.05	$21.88	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $33.88	Professional		$31.62	$31.62	$33.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $33.88	Professional		$21.88	$25.70	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $46.77	Professional		$29.51	$33.11	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.39 / $43.65	Facility		$13.80	$22.39	$43.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.57 / $33.11	Facility		$2.40	$4.57	$33.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.57 / $33.11	Professional		$2.40	$4.57	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $14.45 / $23.99	Facility		$1.78	$14.45	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $33.88	Professional		$17.78	$20.89	$33.88