Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $24.34 / $48.40	Facility		$21.23	$24.34	$48.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $22.29 / $22.29	Professional		$21.23	$22.29	$22.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $44.80 / $72.18	Facility		$21.23	$44.80	$72.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $33.04 / $49.87	Professional		$29.04	$33.04	$49.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Facility		$28.21	$28.21	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $25.48 / $31.09	Professional		$18.05	$25.48	$31.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $21.23 / $37.70	Facility		$14.01	$21.23	$37.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $25.69 / $31.53	Facility		$20.17	$25.69	$31.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $25.69 / $31.53	Professional		$20.17	$25.69	$31.53
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.23 / $26.64	Professional		$20.89	$21.23	$26.64