Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $32.69 / $65.03	Facility		$28.52	$32.69	$65.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.80 / $32.61	Professional		$28.52	$28.80	$32.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $59.04 / $93.26	Facility		$28.52	$59.04	$93.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $38.76	Professional		$28.52	$28.52	$38.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Professional		$30.70	$30.70	$30.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $26.90 / $28.52	Facility		$26.90	$26.90	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $28.52 / $39.70	Professional		$24.24	$28.52	$39.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $29.94 / $47.60	Facility		$26.87	$29.94	$47.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $36.46	Professional		$28.52	$28.52	$36.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $33.65 / $42.78	Facility		$28.52	$33.65	$42.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $33.65 / $42.78	Professional		$28.52	$33.65	$42.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $30.23 / $32.61	Professional		$28.52	$30.23	$32.61