Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $36.47 / $86.00	Facility		$30.07	$36.47	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $32.97 / $39.89	Professional		$27.99	$32.97	$39.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.19 / $144.02 / $188.41	Facility		$114.19	$144.02	$188.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $42.27 / $63.21	Professional		$32.61	$42.27	$63.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $45.61 / $107.76	Professional		$45.58	$45.61	$107.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.64 / $119.21 / $500.00	Facility		$73.64	$119.21	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $45.88 / $77.44	Professional		$29.64	$45.88	$77.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $43.28 / $53.04	Professional		$36.07	$43.28	$53.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $49.00 / $75.41	Facility		$31.27	$49.00	$75.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $41.00 / $65.00	Professional		$12.00	$41.00	$65.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $36.11 / $66.08	Facility		$10.55	$36.11	$66.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $43.97 / $76.59	Professional		$11.67	$43.97	$76.59
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $43.33 / $68.81	Professional		$27.86	$43.33	$68.81