Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $384.04 / $1,254.74	Facility		$30.01	$384.04	$1,254.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $31.51 / $51.01	Professional		$23.36	$31.51	$51.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $63.32 / $102.03	Facility		$30.01	$63.32	$102.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $37.32 / $56.32	Professional		$32.79	$37.32	$56.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $30.01	Facility		$28.31	$28.31	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $36.01 / $39.11	Professional		$25.51	$36.01	$39.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $30.01 / $32.29	Facility		$24.83	$30.01	$32.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $30.01 / $38.40	Facility		$28.51	$30.01	$38.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $30.01 / $38.40	Professional		$28.51	$30.01	$38.40
United Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $30.01 / $37.65	Professional		$29.11	$30.01	$37.65