Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $40.74	Facility		$32.36	$32.36	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $54.95	Professional		$22.91	$39.81	$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 / $40.74 / $63.10	Facility		$23.99	$40.74	$63.10
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 $31.62 / $67.61 / $229.09	Facility		$31.62	$67.61	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $107.15	Professional		$36.31	$69.18	$107.15