Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $19.44 / $19.44	Facility		$16.09	$19.44	$19.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $19.44 / $25.71	Professional		$15.63	$19.44	$25.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $39.32 / $41.76	Facility		$39.32	$39.32	$41.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $29.08	Professional		$22.33	$22.33	$29.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $26.88	Professional		$21.00	$21.00	$26.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $29.97	Facility		$29.97	$29.97	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.27	Professional		$21.88	$21.88	$26.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $35.39 / $47.18	Professional		$27.52	$35.39	$47.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $24.18 / $44.58	Facility		$11.61	$24.18	$44.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $49.15 / $65.50	Professional		$21.00	$49.15	$65.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $29.67 / $49.23	Facility		$22.68	$29.67	$49.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $29.67 / $49.23	Professional		$22.68	$29.67	$49.23
United Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $19.61 / $29.55	Professional		$16.67	$19.61	$29.55