Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $20.98 / $41.70	Facility		$18.16	$20.98	$41.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $19.05 / $19.05	Professional		$18.16	$19.05	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $38.32 / $61.74	Facility		$18.16	$38.32	$61.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $27.44 / $41.41	Professional		$24.11	$27.44	$41.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $17.13 / $18.16	Facility		$17.13	$17.13	$18.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $21.79 / $22.72	Professional		$15.44	$21.79	$22.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $27.89	Facility		$18.16	$18.16	$27.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $18.20 / $23.24	Facility		$17.25	$18.20	$23.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $18.20 / $23.24	Professional		$17.25	$18.20	$23.24
United Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $18.16 / $22.72	Professional		$17.87	$18.16	$22.72