Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $20.17 / $40.11	Facility		$16.84	$20.17	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.68 / $17.68	Professional		$16.84	$17.68	$17.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $35.53 / $57.26	Facility		$16.84	$35.53	$57.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $26.30 / $39.69	Professional		$23.11	$26.30	$39.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $15.89 / $16.84	Facility		$15.89	$15.89	$16.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $20.21 / $28.58	Professional		$14.31	$20.21	$28.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $24.78	Facility		$16.84	$16.84	$24.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $20.38 / $25.44	Facility		$16.00	$20.38	$25.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $20.38 / $25.44	Professional		$16.00	$20.38	$25.44
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $20.21	Professional		$16.84	$16.84	$20.21