Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.18 / $37.15	Facility		$12.88	$28.18	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.14	Professional		$12.88	$12.88	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $45.71	Facility		$13.18	$26.30	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $22.39	Professional		$13.18	$13.18	$22.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $31.62	Professional		$18.20	$20.89	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.18 / $13.18	Facility		$12.59	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $15.85	Professional		$11.22	$13.18	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.18 / $21.38	Facility		$8.32	$13.18	$21.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.88 / $19.50	Facility		$12.59	$12.88	$19.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.88 / $19.50	Professional		$12.59	$12.88	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.18 / $21.38	Facility		$12.88	$13.18	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.18 / $15.14	Professional		$12.88	$13.18	$15.14