Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $23.99	Professional		$15.14	$19.05	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $26.30	Professional		$23.99	$23.99	$26.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $22.91	Facility		$21.38	$21.38	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $25.70	Professional		$17.78	$21.38	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $37.15	Professional		$23.44	$28.18	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $24.55	Professional		$19.05	$19.05	$24.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $19.05 / $33.88	Facility		$10.47	$19.05	$33.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $16.22 / $31.62	Facility		$2.09	$16.22	$31.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $13.49 / $28.84	Professional		$2.09	$13.49	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $10.96 / $20.89	Facility		$1.38	$10.96	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.22 / $25.70	Professional		$13.80	$16.22	$25.70