Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $65.26 / $86.40	Facility		$30.78	$65.26	$86.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.08 / $37.29	Professional		$30.78	$31.08	$37.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $63.71 / $100.65	Facility		$30.78	$63.71	$100.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $41.83	Professional		$30.78	$30.78	$41.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $31.08 / $31.08	Professional		$30.77	$31.08	$31.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $29.03 / $30.78	Facility		$29.03	$29.03	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $30.78 / $38.20	Professional		$26.16	$30.78	$38.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $32.32 / $51.39	Facility		$26.61	$32.32	$51.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $56.28 / $76.70	Professional		$35.38	$56.28	$76.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $35.40 / $46.17	Facility		$30.78	$35.40	$46.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $35.40 / $46.17	Professional		$30.78	$35.40	$46.17
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.63 / $35.40	Professional		$30.78	$32.63	$35.40