Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $40.74	Facility		$14.13	$30.20	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.84 / $48.98	Facility		$14.45	$28.84	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $24.55	Professional		$14.45	$14.45	$24.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $33.11	Professional		$19.50	$21.88	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.45 / $14.45	Facility		$13.80	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $29.51	Professional		$12.30	$14.45	$29.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $18.62	Facility		$14.45	$17.38	$18.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.38 / $21.88	Facility		$13.80	$21.38	$21.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $21.88	Professional		$13.80	$21.38	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.45 / $22.39	Facility		$13.49	$14.45	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $17.38	Professional		$14.45	$14.45	$17.38