Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $47.38 / $502.02	Facility		$22.98	$47.38	$502.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $23.16 / $31.55	Professional		$19.85	$23.16	$31.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $20.34 / $27.89	Professional		$15.90	$20.34	$27.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $26.91 / $101.75	Professional		$26.59	$26.91	$101.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $72.00 / $202.81	Facility		$70.00	$72.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $39.06 / $108.10	Professional		$24.63	$39.06	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $35.85 / $44.16	Professional		$30.19	$35.85	$44.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.48 / $52.57	Facility		$22.39	$30.48	$52.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $45.00 / $65.00	Professional		$41.00	$45.00	$65.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $34.90 / $82.48	Facility		$22.68	$34.90	$82.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $34.90 / $82.48	Professional		$22.68	$34.90	$82.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $33.40 / $42.28	Professional		$23.07	$33.40	$42.28