Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $28.55 / $28.55	Facility		$28.55	$28.55	$28.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $28.55 / $40.14	Professional		$16.48	$28.55	$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 $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $32.64 / $36.79	Professional		$32.64	$32.64	$36.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $41.89	Facility		$31.91	$31.91	$41.89
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 $16.01 / $26.22 / $58.45	Facility		$16.01	$26.22	$58.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $43.94 / $43.94	Professional		$43.94	$43.94	$43.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.25 / $45.20	Facility		$3.24	$6.25	$45.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $6.25 / $45.20	Professional		$3.24	$6.25	$45.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $26.88 / $34.32	Professional		$22.79	$26.88	$34.32