Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $39.81	Facility		$14.13	$30.20	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $26.92 / $48.98	Facility		$14.13	$26.92	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $23.99	Professional		$14.13	$14.13	$23.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $21.88	Professional		$14.13	$14.13	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Facility		$13.49	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $16.98	Professional		$12.02	$14.13	$16.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $23.99	Facility		$14.13	$15.49	$23.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Professional		$14.13	$14.13	$14.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $20.89	Facility		$13.49	$15.85	$20.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $20.89	Professional		$13.49	$15.85	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.13 / $22.91	Facility		$13.80	$14.13	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $16.22	Professional		$14.13	$15.14	$16.22