Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $46.34 / $15,922.80	Facility		$22.38	$46.34	$15,922.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $22.38 / $36.43	Professional		$21.30	$22.38	$36.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $44.96 / $72.45	Facility		$21.31	$44.96	$72.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $35.61 / $53.73	Professional		$31.29	$35.61	$53.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.10 / $21.31	Facility		$20.10	$20.10	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $25.57 / $37.07	Professional		$18.11	$25.57	$37.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $35.69	Facility		$21.31	$21.31	$35.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $25.79 / $33.32	Facility		$20.23	$25.79	$33.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $25.79 / $33.32	Professional		$20.23	$25.79	$33.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $21.31 / $26.74	Professional		$20.97	$21.31	$26.74