Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $20.07 / $20.07	Facility		$20.07	$20.07	$20.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $20.07 / $26.50	Professional		$11.90	$20.07	$26.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $33.38 / $33.38	Facility		$33.38	$33.38	$33.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $26.78 / $26.78	Professional		$26.78	$26.78	$26.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $25.68 / $25.68	Professional		$25.68	$25.68	$25.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $29.25	Facility		$22.28	$22.28	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.28 / $29.25	Professional		$18.94	$22.28	$29.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $28.17 / $39.44	Professional		$24.86	$28.17	$39.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $19.57 / $36.36	Facility		$11.56	$19.57	$36.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $31.72	Professional		$31.72	$31.72	$31.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $17.94 / $32.63	Facility		$2.27	$17.94	$32.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $14.05 / $31.72	Professional		$2.27	$14.05	$31.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $18.14 / $27.96	Professional		$15.41	$18.14	$27.96