Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $29.00 / $83.55	Facility		$28.69	$29.00	$83.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $26.38 / $29.00	Professional		$19.46	$26.38	$29.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $19.36	Professional		$13.82	$13.82	$19.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $29.70 / $57.91	Professional		$29.70	$29.70	$57.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $55.03 / $125.92	Facility		$1.53	$55.03	$125.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $16.80 / $41.26	Professional		$9.75	$16.80	$41.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $27.38 / $45.44	Professional		$22.60	$27.38	$45.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $28.48 / $44.95	Facility		$12.21	$28.48	$44.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $33.00 / $73.90	Professional		$20.00	$33.00	$73.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $27.08 / $70.22	Facility		$17.67	$27.08	$70.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $27.86 / $76.22	Professional		$18.64	$27.86	$76.22
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $15.13 / $20.35	Professional		$8.75	$15.13	$20.35