Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $40.85	Facility		$34.22	$34.22	$40.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $34.22 / $40.85	Professional		$26.58	$34.22	$40.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $35.36 / $58.46	Professional		$27.65	$35.36	$58.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $30.89 / $58.38	Professional		$30.89	$30.89	$58.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $166.93 / $166.93	Professional		$166.93	$166.93	$166.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $40.85 / $55.15	Professional		$32.68	$40.85	$55.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $34.33 / $59.23	Facility		$27.74	$34.33	$59.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $60.27 / $86.23	Professional		$47.53	$60.27	$86.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $52.58 / $5,502.98	Facility		$34.44	$52.58	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $52.58 / $5,502.98	Professional		$34.44	$52.58	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,238.00 / $2,959.00 / $5,226.00	Facility		$1,238.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $37.74 / $60.57	Professional		$24.89	$37.74	$60.57