Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $31.62 / $41.69	Facility		$15.14	$31.62	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Professional		$15.14	$15.14	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $51.29	Facility		$15.14	$30.20	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $25.12	Professional		$15.14	$15.14	$25.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $35.48	Professional		$20.42	$23.44	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $15.14	Facility		$14.13	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $18.20	Professional		$12.88	$15.14	$18.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.14 / $26.92	Facility		$9.77	$15.14	$26.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.85 / $21.88	Facility		$14.13	$15.85	$21.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $21.88	Professional		$14.13	$15.85	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $24.55	Facility		$15.14	$15.14	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $18.20	Professional		$14.45	$15.14	$18.20