Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $33.94 / $67.48	Facility		$23.88	$33.94	$67.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $35.82	Professional		$23.88	$24.12	$35.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $49.43 / $78.09	Facility		$23.88	$49.43	$78.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $32.06	Professional		$23.88	$23.88	$32.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $29.60 / $29.60	Professional		$23.88	$29.60	$29.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $22.53 / $23.88	Facility		$22.53	$22.53	$23.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Professional		$23.88	$23.88	$23.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $23.88 / $80.48	Professional		$20.30	$23.88	$80.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $44.70 / $293.00	Facility		$23.88	$44.70	$293.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $60.37 / $104.59	Professional		$37.04	$60.37	$104.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $28.66 / $87.03	Facility		$23.88	$28.66	$87.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $28.66 / $87.03	Professional		$23.88	$28.66	$87.03
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $28.20	Professional		$23.88	$25.31	$28.20