Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $37.02 / $73.62	Facility		$26.71	$37.02	$73.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.98 / $33.92	Professional		$26.71	$26.98	$33.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $55.29 / $87.34	Facility		$26.71	$55.29	$87.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $35.86	Professional		$26.71	$26.71	$35.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.29 / $32.29	Professional		$26.71	$32.29	$32.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $26.71	Facility		$25.20	$25.20	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Professional		$26.71	$26.71	$26.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $26.71 / $72.75	Professional		$22.70	$26.71	$72.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $47.40 / $74.92	Facility		$26.71	$47.40	$74.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $74.38 / $155.00	Professional		$40.00	$74.38	$155.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $32.04 / $61.91	Facility		$26.71	$32.04	$61.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.04 / $61.91	Professional		$26.71	$32.04	$61.91
United Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $50.03 / $80.34	Facility		$30.32	$50.03	$80.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.31 / $31.52	Professional		$26.71	$28.31	$31.52