Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $32.34 / $54.84	Facility		$19.73	$32.34	$54.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $39.97 / $59.10	Professional		$20.26	$39.97	$59.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Facility		$39.28	$39.28	$39.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $33.90 / $51.98	Professional		$21.20	$33.90	$51.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.29 / $51.58	Professional		$27.29	$27.29	$51.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.00 / $62.61	Professional		$30.00	$48.00	$62.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $39.01 / $48.47	Professional		$22.10	$39.01	$48.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $40.34 / $61.69	Facility		$22.24	$40.34	$61.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $63.53 / $86.00	Professional		$54.00	$63.53	$86.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $35.76 / $58.38	Facility		$23.96	$35.76	$58.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $62.65 / $102.75	Professional		$43.44	$62.65	$102.75
United Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $53.88 / $87.19	Professional		$38.65	$53.88	$87.19