Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $64.89 / $105.31	Facility		$25.64	$64.89	$105.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $28.38 / $29.80	Professional		$25.64	$28.38	$29.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $166.51	Facility		$34.19	$34.19	$166.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.02 / $20.68	Professional		$14.02	$14.02	$20.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $113.59 / $170.04	Professional		$74.33	$113.59	$170.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $63.88 / $174.48	Facility		$22.47	$63.88	$174.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $20.97 / $50.82	Professional		$16.12	$20.97	$50.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $42.74 / $50.60	Professional		$41.03	$42.74	$50.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $34.19	Facility		$28.61	$28.61	$34.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $34.19 / $71.80	Professional		$28.75	$34.19	$71.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $39.32 / $141.96	Facility		$24.54	$39.32	$141.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $39.32 / $141.96	Professional		$24.54	$39.32	$141.96
United Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $34.19 / $52.59	Facility		$31.55	$34.19	$52.59
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $17.10 / $22.22	Professional		$14.36	$17.10	$22.22