Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $37.15 / $73.87	Facility		$32.15	$37.15	$73.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $35.36	Professional		$32.15	$32.15	$35.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $66.55 / $105.13	Facility		$32.15	$66.55	$105.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $43.09	Professional		$32.15	$32.15	$43.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.39 / $32.39	Professional		$32.15	$32.39	$32.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $30.33 / $32.15	Facility		$30.33	$30.33	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Professional		$32.15	$32.15	$32.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $32.15 / $38.58	Professional		$27.33	$32.15	$38.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $33.75 / $53.27	Facility		$26.00	$33.75	$53.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.28 / $76.98	Professional		$34.67	$47.28	$76.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $35.28 / $48.23	Facility		$31.57	$35.28	$48.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $35.28 / $48.23	Professional		$31.57	$35.28	$48.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $34.11	Professional		$32.15	$32.15	$34.11