Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $66.59 / $125.62	Facility		$26.32	$66.59	$125.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $28.77 / $29.83	Professional		$26.32	$28.77	$29.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $172.47	Facility		$35.09	$35.09	$172.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $19.10 / $29.09	Professional		$19.10	$19.10	$29.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $28.07 / $54.74	Professional		$28.07	$28.07	$54.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $65.59 / $179.50	Facility		$22.81	$65.59	$179.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $50.88	Professional		$42.46	$42.46	$50.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $51.93	Professional		$35.09	$42.11	$51.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $35.09 / $59.66	Facility		$27.90	$35.09	$59.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $69.48 / $84.22	Professional		$41.00	$69.48	$84.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $40.35 / $77.09	Facility		$21.85	$40.35	$77.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $40.79 / $77.09	Professional		$21.85	$40.79	$77.09
United Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Facility		$42.11	$42.11	$42.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.00 / $45.62	Professional		$14.74	$20.00	$45.62