Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $47.18 / $67.84	Facility		$27.83	$47.18	$67.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.76 / $33.67	Professional		$26.51	$26.76	$33.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $54.88 / $86.69	Facility		$26.51	$54.88	$86.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $36.81	Professional		$26.51	$26.51	$36.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $29.92 / $29.92	Professional		$26.51	$29.92	$29.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $26.51	Facility		$20.83	$20.83	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $26.51 / $77.42	Professional		$22.53	$26.51	$77.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $29.43 / $60.89	Facility		$26.51	$29.43	$60.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $87.06 / $113.00	Professional		$53.00	$87.06	$113.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $32.08 / $76.56	Facility		$26.51	$32.08	$76.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $32.08 / $76.56	Professional		$26.51	$32.08	$76.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $28.10 / $37.06	Professional		$26.51	$28.10	$37.06