Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $25.47 / $50.64	Facility		$22.54	$25.47	$50.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.82	Professional		$22.54	$22.54	$26.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $46.66 / $73.70	Facility		$22.54	$46.66	$73.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $30.21	Professional		$22.54	$22.54	$30.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.21 / $22.54	Professional		$22.21	$22.21	$22.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.26 / $22.54	Facility		$21.26	$21.26	$22.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $22.54 / $27.05	Professional		$19.16	$22.54	$27.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $23.67 / $36.06	Facility		$17.91	$23.67	$36.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $31.00 / $47.95	Professional		$21.81	$31.00	$47.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $25.92 / $33.81	Facility		$22.54	$25.92	$33.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $25.92 / $33.81	Professional		$22.54	$25.92	$33.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.89 / $26.10	Professional		$22.54	$23.89	$26.10