Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $33.88	Facility		$21.88	$25.70	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $40.74	Professional		$21.88	$28.84	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $50.12	Professional		$22.91	$33.11	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $29.51	Professional		$20.89	$23.44	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $66.07	Professional		$24.55	$37.15	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $40.74	Professional		$19.05	$29.51	$40.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $46.77	Facility		$22.39	$30.90	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $32.36 / $51.29	Facility		$23.99	$32.36	$51.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $69.18	Professional		$32.36	$42.66	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $58.88	Professional		$21.38	$34.67	$58.88