Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $42.12 / $83.77	Facility		$36.77	$42.12	$83.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $38.60 / $38.60	Professional		$36.77	$38.60	$38.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $77.58 / $125.02	Facility		$36.77	$77.58	$125.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $54.14 / $81.70	Professional		$47.57	$54.14	$81.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $36.77	Facility		$34.68	$34.68	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $44.12 / $46.51	Professional		$31.25	$44.12	$46.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $36.77 / $50.71	Facility		$36.77	$36.77	$50.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $36.96 / $47.07	Facility		$34.93	$36.96	$47.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $36.96 / $47.07	Professional		$34.93	$36.96	$47.07
United Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $36.77 / $46.15	Professional		$35.67	$36.77	$46.15