Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $20.94 / $20.94	Facility		$20.94	$20.94	$20.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $20.94 / $25.45	Professional		$11.23	$20.94	$25.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $33.89 / $33.89	Facility		$33.89	$33.89	$33.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $27.46 / $27.46	Professional		$27.46	$27.46	$27.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $19.87 / $21.99	Professional		$19.87	$19.87	$21.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $29.83	Facility		$22.73	$22.73	$29.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.73 / $29.83	Professional		$19.32	$22.73	$29.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $27.51 / $37.28	Professional		$23.72	$27.51	$37.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $17.71 / $33.89	Facility		$10.91	$17.71	$33.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $29.95 / $29.95	Professional		$29.95	$29.95	$29.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $3.75 / $27.92	Facility		$2.16	$3.75	$27.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.75 / $27.92	Professional		$2.16	$3.75	$27.92
United Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $16.91 / $24.24	Professional		$15.28	$16.91	$24.24