Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.84	Facility		$28.18	$28.18	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $151.36	Professional		$25.12	$28.18	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $57.54	Professional		$27.54	$36.31	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $104.71	Professional		$36.31	$39.81	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $63.10	Professional		$28.18	$36.31	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $43.65	Professional		$28.18	$34.67	$43.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.88 / $69.18	Facility		$25.70	$33.88	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $36.31 / $114.82	Facility		$28.18	$36.31	$114.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $114.82	Professional		$28.18	$36.31	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $51.29	Professional		$21.88	$33.11	$51.29