Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $38.90 / $51.29	Facility		$18.20	$38.90	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $19.95	Professional		$18.20	$18.20	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $61.66	Facility		$18.20	$36.31	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $30.90	Professional		$18.20	$18.20	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $43.65	Professional		$25.12	$28.84	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $18.20	Facility		$17.38	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $29.51	Professional		$15.49	$18.20	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $26.30	Facility		$18.20	$18.20	$26.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $26.92	Facility		$17.38	$22.91	$26.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $26.92	Professional		$17.38	$22.91	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $28.84	Facility		$17.38	$18.20	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $21.88	Professional		$18.20	$18.20	$21.88