Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $32.32 / $435.60	Facility		$15.53	$32.32	$435.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $36.79 / $57.07	Professional		$16.01	$36.79	$57.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $36.17 / $36.17	Facility		$36.17	$36.17	$36.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $28.92 / $48.33	Professional		$16.67	$28.92	$48.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $40.20	Professional		$21.27	$21.27	$40.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $45.00 / $57.20	Professional		$25.64	$45.00	$57.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $34.46 / $42.82	Professional		$16.57	$34.46	$42.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $35.67 / $57.04	Facility		$17.05	$35.67	$57.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $58.53 / $79.00	Professional		$42.14	$58.53	$79.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $28.02 / $50.47	Facility		$18.61	$28.02	$50.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $57.25 / $92.48	Professional		$40.18	$57.25	$92.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $49.82 / $86.23	Professional		$35.22	$49.82	$86.23