Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $38.02	Facility		$32.36	$32.36	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $54.95	Professional		$22.91	$38.02	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $91.20	Professional		$35.48	$46.77	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $24.55	Professional		$15.85	$23.44	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $112.20	Professional		$16.22	$19.50	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $25.70	Professional		$15.14	$19.95	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.90 / $60.26	Facility		$23.99	$38.90	$60.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $60.26 / $125.89	Facility		$33.88	$60.26	$125.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $125.89	Professional		$33.88	$60.26	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $102.33 / $363.08	Facility		$47.86	$102.33	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $107.15	Professional		$36.31	$69.18	$107.15