Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $74.13 / $138.04	Facility		$25.70	$74.13	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $39.81	Professional		$22.91	$26.92	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $141.25	Facility		$35.48	$35.48	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $32.36	Professional		$19.05	$19.05	$32.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $31.62	Professional		$26.92	$28.84	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $69.18 / $177.83	Facility		$35.48	$69.18	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $51.29	Professional		$42.66	$42.66	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $48.98	Professional		$35.48	$38.90	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.88 / $54.95	Facility		$26.30	$33.88	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $74.13	Professional		$22.91	$22.91	$74.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $40.74 / $89.13	Facility		$20.89	$40.74	$89.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $93.33	Professional		$20.89	$40.74	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $35.48 / $41.69	Facility		$20.89	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $40.74	Professional		$14.79	$17.38	$40.74