Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $19.95 / $19.95	Facility		$16.51	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $19.95 / $22.23	Professional		$16.51	$19.95	$22.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $42.85	Facility		$40.35	$40.35	$42.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.31 / $20.19	Professional		$13.31	$13.31	$20.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $27.58	Professional		$21.20	$21.20	$27.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $23.09	Facility		$23.09	$23.09	$23.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $23.09	Professional		$16.86	$16.86	$23.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $36.32 / $48.42	Professional		$28.25	$36.32	$48.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $24.82 / $45.29	Facility		$11.90	$24.82	$45.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $50.44 / $67.20	Professional		$24.00	$50.44	$67.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $30.46 / $51.56	Facility		$21.01	$30.46	$51.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $30.46 / $51.56	Professional		$21.01	$30.46	$51.56
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $20.13 / $32.86	Professional		$17.05	$20.13	$32.86