Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $42.98 / $4,420.00	Facility		$23.12	$42.98	$4,420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $23.12 / $24.46	Professional		$22.01	$23.12	$24.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $46.46 / $74.87	Facility		$22.02	$46.46	$74.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $32.14 / $48.51	Professional		$28.25	$32.14	$48.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $20.77 / $22.02	Facility		$20.77	$20.77	$22.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $26.42 / $43.83	Professional		$18.72	$26.42	$43.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $35.21	Facility		$22.02	$22.02	$35.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $26.64 / $37.50	Facility		$20.92	$26.64	$37.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $26.64 / $37.50	Professional		$20.92	$26.64	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $22.02 / $27.64	Professional		$21.66	$22.02	$27.64