Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $22.76 / $22.76	Facility		$22.76	$22.76	$22.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $22.76 / $28.91	Professional		$19.11	$22.76	$28.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $37.84 / $37.84	Facility		$37.84	$37.84	$37.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $24.61 / $28.30	Professional		$24.61	$24.61	$28.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $26.54	Facility		$24.94	$24.94	$26.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.94 / $32.72	Professional		$21.20	$24.94	$32.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $32.15 / $44.94	Professional		$28.38	$32.15	$44.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $22.69 / $43.84	Facility		$13.94	$22.69	$43.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $28.00	Professional		$28.00	$28.00	$28.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $21.24 / $38.24	Facility		$2.66	$21.24	$38.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $16.20 / $37.84	Professional		$2.58	$16.20	$37.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $20.19 / $31.92	Professional		$18.38	$20.19	$31.92