Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $38.06 / $38.06	Facility		$38.06	$38.06	$38.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $38.06 / $40.14	Professional		$22.51	$38.06	$40.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $47.45 / $47.45	Facility		$47.45	$47.45	$47.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $39.07 / $39.07	Professional		$39.07	$39.07	$39.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Facility		$31.91	$31.91	$31.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $41.89	Professional		$27.12	$31.91	$41.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $38.89 / $53.70	Professional		$33.85	$38.89	$53.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $33.85 / $58.45	Facility		$32.86	$33.85	$58.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $5.85 / $47.45	Facility		$2.13	$5.85	$47.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $5.85 / $47.45	Professional		$2.13	$5.85	$47.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $27.13 / $41.15	Professional		$22.79	$27.13	$41.15