Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $47.86	Facility		$15.14	$18.20	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $33.11	Professional		$15.14	$18.20	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $40.74	Facility		$38.02	$38.02	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $43.65	Professional		$20.89	$20.89	$43.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $26.30	Professional		$22.91	$22.91	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $21.38	Facility		$16.60	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $53.70	Professional		$26.92	$38.02	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $37.15	Professional		$19.50	$25.12	$37.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $46.77	Facility		$15.14	$25.70	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $47.86	Professional		$20.42	$22.91	$47.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $32.36 / $109.65	Facility		$21.38	$32.36	$109.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $109.65	Professional		$21.38	$32.36	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.98 / $54.95	Facility		$11.48	$16.98	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $30.20	Professional		$16.98	$18.62	$30.20