Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $41.50 / $67.39	Facility		$22.66	$41.50	$67.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.92 / $27.12	Professional		$21.70	$21.92	$27.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $44.92 / $70.95	Facility		$21.70	$44.92	$70.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $29.13	Professional		$21.70	$21.70	$29.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $19.76 / $21.70	Professional		$19.76	$19.76	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $21.70	Facility		$20.47	$20.47	$21.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $21.70 / $78.84	Professional		$18.45	$21.70	$78.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $38.50 / $89.00	Facility		$21.70	$38.50	$89.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $61.00 / $95.00	Professional		$32.00	$61.00	$95.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $26.04 / $80.48	Facility		$21.70	$26.04	$80.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $26.04 / $80.48	Professional		$21.70	$26.04	$80.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.00 / $28.21	Professional		$21.70	$23.00	$28.21