Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $52.48 / $97.72	Facility		$18.20	$52.48	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $28.18	Professional		$15.85	$19.05	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $154.88	Facility		$100.00	$131.83	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $48.98	Professional		$28.84	$28.84	$48.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $22.39	Professional		$19.05	$20.42	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $61.66 / $128.82	Facility		$25.70	$61.66	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.20 / $36.31	Professional		$14.79	$30.20	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $34.67	Professional		$25.12	$27.54	$34.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $27.54 / $41.69	Facility		$19.95	$27.54	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $52.48	Professional		$16.22	$25.12	$52.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $45.71	Facility		$17.78	$28.18	$45.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $45.71	Professional		$17.78	$28.18	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $30.20	Facility		$15.14	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $28.84	Professional		$10.47	$12.59	$28.84