Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $33.11	Professional		$20.89	$25.12	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $30.20	Facility		$27.54	$27.54	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $33.11	Professional		$23.44	$27.54	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $50.12	Professional		$31.62	$36.31	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.20	Professional		$24.55	$24.55	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.12 / $47.86	Facility		$13.18	$25.12	$47.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.13 / $36.31	Facility		$2.69	$5.13	$36.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.13 / $36.31	Professional		$2.69	$5.13	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $14.13 / $25.70	Facility		$1.74	$14.13	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $34.67	Professional		$17.78	$22.91	$34.67