Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.88 / $6,165.95	Facility		$12.88	$33.88	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.49	Professional		$12.88	$12.88	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $44.67	Facility		$13.18	$26.30	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $22.39	Professional		$13.18	$13.18	$22.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $61.66	Professional		$36.31	$41.69	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.18 / $13.18	Facility		$7.59	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $85.11	Professional		$11.22	$13.18	$85.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $21.38	Facility		$13.18	$13.18	$21.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.50 / $72.44	Facility		$12.59	$19.50	$72.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $72.44	Professional		$12.59	$19.50	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.12 / $40.74	Facility		$13.18	$25.12	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $17.38	Professional		$13.18	$14.13	$17.38