Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $51.08 / $71.76	Facility		$22.05	$51.08	$71.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $41.40 / $59.06	Professional		$22.05	$41.40	$59.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $44.78 / $76.48	Professional		$22.44	$44.78	$76.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $44.85	Professional		$24.31	$24.31	$44.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $53.84 / $92.01	Professional		$25.05	$53.84	$92.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $61.18 / $75.45	Professional		$47.66	$61.18	$75.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $50.00 / $80.70	Facility		$23.22	$50.00	$80.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $74.00 / $98.00	Professional		$59.00	$74.00	$98.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $29.24 / $51.15	Facility		$23.08	$29.24	$51.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $63.39 / $107.52	Professional		$51.34	$63.39	$107.52
United Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $56.32 / $90.82	Professional		$33.28	$56.32	$90.82