Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.11 / $10,000.00	Facility		$15.49	$33.11	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $18.20	Professional		$15.14	$15.14	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.90 / $52.48	Facility		$15.49	$30.90	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $26.30	Professional		$15.49	$15.49	$26.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.99 / $36.31	Professional		$21.38	$23.99	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $15.49	Facility		$14.79	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.49 / $20.42	Professional		$13.18	$15.49	$20.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $26.92	Facility		$15.49	$15.49	$26.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.22 / $22.91	Facility		$14.79	$16.22	$22.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $22.91	Professional		$14.79	$16.22	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $25.70	Facility		$15.49	$15.49	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $19.50	Professional		$15.14	$15.49	$19.50