Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $32.65 / $9,810.00	Facility		$15.61	$32.65	$9,810.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $16.39 / $27.47	Professional		$15.61	$16.39	$27.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $32.94 / $53.07	Facility		$15.61	$32.94	$53.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $24.59 / $37.10	Professional		$21.61	$24.59	$37.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $15.61	Facility		$14.73	$14.73	$15.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $18.73 / $21.35	Professional		$13.27	$18.73	$21.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $26.87	Facility		$15.61	$15.61	$26.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $17.10 / $20.28	Facility		$14.83	$17.10	$20.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $17.10 / $20.28	Professional		$14.83	$17.10	$20.28
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.61 / $19.59	Professional		$15.14	$15.61	$19.59