Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $20.50 / $39.60	Facility		$19.52	$20.50	$39.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $20.50 / $21.69	Professional		$19.52	$20.50	$21.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $41.19 / $66.37	Facility		$19.52	$41.19	$66.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $30.39 / $45.87	Professional		$26.71	$30.39	$45.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $18.42 / $19.52	Facility		$18.42	$18.42	$19.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $23.42 / $24.32	Professional		$16.59	$23.42	$24.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $19.57 / $21.27	Facility		$19.52	$19.57	$21.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $19.52 / $24.99	Facility		$18.54	$19.52	$24.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $19.52 / $24.99	Professional		$18.54	$19.52	$24.99
United Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.52 / $24.32	Professional		$19.20	$19.52	$24.32