Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $17.00 / $17.00	Facility		$14.08	$17.00	$17.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $17.00 / $18.92	Professional		$14.08	$17.00	$18.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $36.53	Facility		$34.40	$34.40	$36.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.43 / $24.50	Professional		$18.43	$18.43	$24.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $23.51	Professional		$20.93	$20.93	$23.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $24.27	Facility		$24.27	$24.27	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $24.27	Professional		$17.72	$17.72	$24.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $30.96 / $41.28	Professional		$24.08	$30.96	$41.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $20.13 / $38.59	Facility		$10.14	$20.13	$38.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $43.00 / $57.30	Professional		$20.00	$43.00	$57.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $25.95 / $43.95	Facility		$17.91	$25.95	$43.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $25.95 / $43.95	Professional		$17.91	$25.95	$43.95
United Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $17.16 / $25.78	Professional		$14.26	$17.16	$25.78