Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.53 / $78.61	Facility		$33.88	$39.53	$78.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.22 / $55.48	Professional		$33.88	$34.22	$55.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $70.13 / $110.79	Facility		$33.88	$70.13	$110.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.41	Professional		$33.88	$33.88	$45.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.47 / $34.47	Professional		$33.88	$34.47	$34.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $33.88	Facility		$31.96	$31.96	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $33.88 / $45.06	Professional		$28.80	$33.88	$45.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $35.57 / $56.91	Facility		$30.66	$35.57	$56.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $56.51 / $86.62	Professional		$41.44	$56.51	$86.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.97 / $50.82	Facility		$33.88	$39.97	$50.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.97 / $50.82	Professional		$33.88	$39.97	$50.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.57	Professional		$33.88	$33.88	$35.57