Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $196.08 / $332.86	Facility		$27.84	$196.08	$332.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.07 / $70.41	Professional		$24.55	$41.07	$70.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $38.78 / $59.10	Professional		$22.85	$38.78	$59.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $20.85 / $120.02	Professional		$20.85	$20.85	$120.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.09 / $40.09 / $40.09	Facility		$40.09	$40.09	$40.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.01 / $4.01 / $4.01	Facility	AS	$4.01	$4.01	$4.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.40 / $92.15	Professional		$18.20	$33.40	$92.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $50.10 / $59.64	Professional		$45.32	$50.10	$59.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $40.04 / $59.51	Facility		$23.81	$40.04	$59.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $2.73 / $4.65 / $5.64	Facility	AS	$2.73	$4.65	$5.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $57.22 / $82.00	Professional		$51.00	$57.22	$82.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $34.36 / $156.00	Facility		$23.07	$34.36	$156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $52.04 / $156.00	Professional		$34.99	$52.04	$156.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $38.65 / $51.27	Professional		$28.99	$38.65	$51.27