Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.90 / $74.13	Facility		$28.18	$30.90	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $52.48	Professional		$22.91	$30.90	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $165.96	Facility		$112.20	$134.90	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $64.57	Professional		$29.51	$41.69	$64.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $37.15 / $79.43	Professional		$9.55	$37.15	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $104.71 / $524.81	Facility		$51.29	$104.71	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $67.61	Professional		$25.12	$36.31	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $47.86	Professional		$31.62	$38.02	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $72.44	Professional		$33.11	$41.69	$72.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $40.74 / $63.10	Facility		$27.54	$40.74	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $53.70	Professional		$34.67	$34.67	$53.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $27.54 / $64.57	Facility		$11.22	$27.54	$64.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $33.11 / $81.28	Professional		$12.02	$33.11	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $24.55 / $186.21	Facility		$9.12	$24.55	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $61.66	Professional		$21.88	$33.88	$61.66