Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $16.29 / $32.40	Facility		$14.23	$16.29	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.94 / $14.94	Professional		$14.23	$14.94	$14.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $30.03 / $48.38	Facility		$14.23	$30.03	$48.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $22.62 / $34.14	Professional		$19.88	$22.62	$34.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $14.23	Facility		$13.43	$13.43	$14.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $17.07 / $24.44	Professional		$12.10	$17.07	$24.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $14.23 / $22.75	Facility		$14.23	$14.23	$22.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $17.22 / $22.79	Facility		$13.52	$17.22	$22.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $17.22 / $22.79	Professional		$13.52	$17.22	$22.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $17.07	Professional		$14.23	$14.23	$17.07