Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $18.47 / $18.47	Facility		$15.29	$18.47	$18.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $18.47 / $20.58	Professional		$15.29	$18.47	$20.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $39.68	Facility		$37.36	$37.36	$39.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $20.73 / $26.61	Professional		$20.73	$20.73	$26.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
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 $15.61 / $15.61 / $21.38	Professional		$15.61	$15.61	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $33.61 / $44.83	Professional		$26.15	$33.61	$44.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $22.97 / $41.91	Facility		$11.02	$22.97	$41.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $46.70 / $62.23	Professional		$22.00	$46.70	$62.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $28.07 / $46.78	Facility		$17.60	$28.07	$46.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $28.07 / $46.78	Professional		$17.60	$28.07	$46.78
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $18.64 / $28.07	Professional		$16.71	$18.64	$28.07