Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $27.09 / $53.88	Facility		$23.65	$27.09	$53.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.83 / $38.72	Professional		$23.65	$24.83	$38.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $49.90 / $80.41	Facility		$23.65	$49.90	$80.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $35.69 / $53.86	Professional		$31.36	$35.69	$53.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $23.65	Facility		$22.31	$22.31	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $28.38 / $34.40	Professional		$20.10	$28.38	$34.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $37.82	Facility		$23.65	$23.65	$37.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $23.65 / $30.27	Facility		$22.30	$23.65	$30.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $23.65 / $30.27	Professional		$22.30	$23.65	$30.27
United Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $23.65 / $27.84	Professional		$23.27	$23.65	$27.84