Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $31.06 / $127.04	Facility		$23.24	$31.06	$127.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $31.06 / $41.49	Professional		$23.24	$31.06	$41.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $29.92 / $49.38	Professional		$23.71	$29.92	$49.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $30.64 / $141.43	Professional		$27.42	$30.64	$141.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $129.69 / $1,348.66	Facility		$29.64	$129.69	$1,348.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $47.62 / $73.88	Professional		$26.27	$47.62	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $28.37 / $35.40	Professional		$22.33	$28.37	$35.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $45.42 / $86.00	Facility		$25.63	$45.42	$86.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $51.00 / $79.05	Professional		$34.00	$51.00	$79.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $49.74 / $72.12	Facility		$30.10	$49.74	$72.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $49.74 / $72.12	Professional		$30.10	$49.74	$72.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $41.62 / $65.27	Professional		$23.06	$41.62	$65.27