Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $53.70 / $120.23	Facility		$18.20	$53.70	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $43.65	Professional		$14.13	$20.89	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $41.69	Professional		$18.20	$29.51	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $83.18	Professional		$19.05	$22.39	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $72.44 / $112.20	Facility		$38.90	$72.44	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $52.48	Professional		$19.50	$29.51	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $31.62	Professional		$21.38	$25.70	$31.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $41.69	Professional		$31.62	$39.81	$41.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $24.55 / $46.77	Facility		$15.49	$24.55	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.30 / $102.33	Facility		$16.22	$26.30	$102.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $102.33	Professional		$20.42	$29.51	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.30 / $26.30	Facility		$23.99	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $44.67	Professional		$13.80	$24.55	$44.67