Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $32.71 / $65.03	Facility		$28.68	$32.71	$65.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $30.11 / $30.11	Professional		$28.68	$30.11	$30.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $60.51 / $97.51	Facility		$28.68	$60.51	$97.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $43.77 / $66.06	Professional		$38.47	$43.77	$66.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $27.06 / $28.68	Facility		$27.06	$27.06	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $34.42 / $34.82	Professional		$24.38	$34.42	$34.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $42.73	Facility		$28.68	$28.68	$42.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $28.68 / $36.71	Facility		$27.25	$28.68	$36.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $28.68 / $36.71	Professional		$27.25	$28.68	$36.71
United Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $28.68 / $34.82	Professional		$27.82	$28.68	$34.82