Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $31.25 / $63.55	Facility		$31.25	$31.25	$63.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $31.25 / $35.59	Professional		$31.25	$31.25	$35.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $59.25 / $62.92	Facility		$59.25	$59.25	$62.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $36.21 / $47.67	Professional		$36.21	$36.21	$47.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $33.20 / $40.50	Professional		$32.00	$33.20	$40.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $37.03	Professional		$27.03	$27.03	$37.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $53.33 / $71.09	Professional		$41.48	$53.33	$71.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $36.45 / $68.14	Facility		$19.07	$36.45	$68.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $77.83 / $98.70	Professional		$44.00	$77.83	$98.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $44.53 / $74.19	Facility		$34.18	$44.53	$74.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $44.53 / $74.19	Professional		$34.18	$44.53	$74.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $29.56 / $45.56	Professional		$28.08	$29.56	$45.56