Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $20.71 / $20.71	Facility		$17.14	$20.71	$20.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.71 / $23.04	Professional		$17.14	$20.71	$23.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $41.88 / $44.48	Facility		$41.88	$41.88	$44.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $22.44 / $29.82	Professional		$22.44	$22.44	$29.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $28.63	Professional		$22.00	$22.00	$28.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Facility		$26.67	$26.67	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $26.67	Professional		$19.47	$19.47	$26.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $37.69 / $50.26	Professional		$29.32	$37.69	$50.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $25.42 / $46.98	Facility		$12.34	$25.42	$46.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $52.35 / $69.76	Professional		$25.00	$52.35	$69.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $31.60 / $53.50	Facility		$17.14	$31.60	$53.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $31.60 / $53.50	Professional		$17.14	$31.60	$53.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $20.89 / $31.47	Professional		$17.36	$20.89	$31.47