Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $56.18 / $105.97	Facility		$22.20	$56.18	$105.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $24.27 / $27.96	Professional		$22.20	$24.27	$27.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $145.47	Facility		$29.60	$29.60	$145.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $21.49	Professional		$14.62	$14.62	$21.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $23.68 / $46.18	Professional		$23.68	$23.68	$46.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $55.31 / $150.97	Facility		$19.23	$55.31	$150.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $36.34 / $43.53	Professional		$19.23	$36.34	$43.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $35.52 / $43.81	Professional		$29.60	$35.52	$43.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $36.18 / $59.10	Facility		$24.64	$36.18	$59.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $58.61 / $71.04	Professional		$35.00	$58.61	$71.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $29.60 / $59.39	Facility		$20.72	$29.60	$59.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $29.60 / $55.94	Professional		$20.72	$29.60	$55.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $16.45 / $37.82	Professional		$12.43	$16.45	$37.82