Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $19.98 / $39.76	Facility		$17.62	$19.98	$39.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $18.50 / $18.50	Professional		$17.62	$18.50	$18.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $37.18 / $59.91	Facility		$17.62	$37.18	$59.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $27.34 / $41.26	Professional		$24.03	$27.34	$41.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $17.62	Facility		$16.62	$16.62	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $21.14 / $30.43	Professional		$14.98	$21.14	$30.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $142.36	Facility		$17.62	$17.62	$142.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $20.03 / $25.90	Facility		$16.73	$20.03	$25.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $20.03 / $25.90	Professional		$16.73	$20.03	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.62 / $22.11	Professional		$17.09	$17.62	$22.11