Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $23.19 / $23.19	Facility		$23.19	$23.19	$23.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $23.19 / $29.25	Professional		$18.79	$23.19	$29.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $28.81 / $28.81	Professional		$28.81	$28.81	$28.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $23.49 / $32.40	Professional		$23.49	$23.49	$32.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $37.47 / $37.47	Facility		$37.47	$37.47	$37.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $31.34 / $33.08	Professional		$15.97	$31.34	$33.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $32.77 / $42.72	Professional		$27.19	$32.77	$42.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $22.31 / $39.15	Facility		$12.43	$22.31	$39.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $15.93 / $34.13	Facility		$2.47	$15.93	$34.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $15.93 / $34.10	Professional		$2.47	$15.93	$34.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $19.19 / $31.47	Professional		$18.05	$19.19	$31.47