Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $64.27 / $121.22	Facility		$25.40	$64.27	$121.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $27.77 / $28.78	Professional		$25.40	$27.77	$28.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $166.42	Facility		$33.86	$33.86	$166.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $21.26	Professional		$13.54	$13.54	$21.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $27.09 / $52.83	Professional		$27.09	$27.09	$52.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $74.34 / $172.79	Facility		$22.01	$74.34	$172.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $41.59 / $49.83	Professional		$41.59	$41.59	$49.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $40.63 / $50.11	Professional		$33.86	$40.63	$50.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $38.94 / $60.85	Facility		$28.19	$38.94	$60.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $67.04 / $81.26	Professional		$40.00	$67.04	$81.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $33.86 / $54.31	Facility		$23.70	$33.86	$54.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $33.86 / $54.31	Professional		$23.70	$33.86	$54.31
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $16.93 / $38.94	Professional		$14.22	$16.93	$38.94