Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $57.54 / $75.86	Facility		$26.92	$57.54	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $54.95	Professional		$26.92	$26.92	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $93.33	Facility		$27.54	$52.48	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $45.71	Professional		$27.54	$27.54	$45.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $33.88	Professional		$27.54	$27.54	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $27.54 / $27.54	Facility		$21.88	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $95.50	Professional		$23.44	$27.54	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $30.20 / $107.15	Facility		$27.54	$30.20	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $100.00	Professional		$27.54	$27.54	$100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $35.48 / $100.00	Facility		$25.70	$35.48	$100.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $100.00	Professional		$25.70	$35.48	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $47.86	Facility		$19.05	$27.54	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $32.36	Professional		$27.54	$28.84	$32.36