Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $50.12	Facility		$15.85	$19.05	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $33.11	Professional		$15.85	$19.95	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $42.66	Facility		$39.81	$39.81	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $46.77	Professional		$22.39	$22.39	$46.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Professional		$20.89	$20.89	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.20 / $30.20	Facility		$19.05	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.20	Professional		$21.88	$21.88	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $56.23	Professional		$28.18	$39.81	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.30 / $39.81	Professional		$23.44	$26.30	$39.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.92 / $51.29	Facility		$16.22	$26.92	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $50.12	Professional		$21.38	$21.88	$50.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $114.82	Facility		$22.91	$33.11	$114.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $114.82	Professional		$22.91	$33.11	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.78 / $48.98	Facility		$12.30	$17.78	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $31.62	Professional		$17.78	$19.50	$31.62