Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $38.44 / $8,261.40	Facility		$18.91	$38.44	$8,261.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.91 / $30.61	Professional		$18.01	$18.91	$30.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $38.00 / $61.23	Facility		$18.01	$38.00	$61.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $28.40 / $42.85	Professional		$24.95	$28.40	$42.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $18.01	Facility		$16.98	$16.98	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $21.61 / $25.85	Professional		$15.31	$21.61	$25.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $28.80	Facility		$18.01	$18.01	$28.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $20.00 / $23.72	Facility		$17.11	$20.00	$23.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $20.00 / $23.72	Professional		$17.11	$20.00	$23.72
United Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $18.01 / $22.60	Professional		$17.47	$18.01	$22.60