Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $27.12 / $28.97	Facility		$27.12	$27.12	$28.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $26.01 / $29.27	Professional		$19.04	$26.01	$29.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $29.37 / $41.14	Professional		$22.95	$29.37	$41.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $23.13 / $43.72	Professional		$23.13	$23.13	$43.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $44.86 / $93.82	Facility		$43.79	$44.86	$93.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $128.71 / $128.71	Professional		$128.71	$128.71	$128.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.73 / $43.65	Professional		$21.38	$26.73	$43.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $27.12 / $43.39	Facility		$20.34	$27.12	$43.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $43.00 / $61.10	Professional		$33.00	$43.00	$61.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $37.83 / $4,462.00	Facility		$23.90	$37.83	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $37.83 / $4,462.00	Professional		$23.90	$37.83	$4,462.00
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 $19.72 / $29.18 / $48.35	Professional		$19.72	$29.18	$48.35