Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Facility		$30.90	$30.90	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $44.67	Professional		$25.12	$30.90	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $61.66	Professional		$29.51	$40.74	$61.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $69.18	Professional		$33.11	$37.15	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $223.87 / $758.58	Facility		$56.23	$223.87	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.55 / $138.04	Professional		$12.88	$24.55	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $53.70	Professional		$33.11	$41.69	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $43.65	Professional		$22.91	$28.18	$43.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $36.31 / $57.54	Facility		$26.30	$36.31	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $32.36 / $64.57	Facility		$23.99	$32.36	$64.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $64.57	Professional		$22.39	$32.36	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $416.87 / $1,445.44	Facility		$380.19	$416.87	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $56.23	Professional		$21.38	$32.36	$56.23