Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.99	Professional		$15.85	$19.05	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.18	Professional		$25.12	$25.12	$28.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $25.70	Professional		$18.20	$21.38	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $38.02	Professional		$23.99	$28.18	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $25.70	Professional		$19.95	$19.95	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.50 / $34.67	Facility		$10.96	$19.50	$34.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $16.98 / $30.90	Facility		$2.14	$16.98	$30.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $13.49 / $29.51	Professional		$2.09	$13.49	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $11.48 / $20.89	Facility		$1.38	$11.48	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.60 / $26.30	Professional		$14.45	$16.60	$26.30