Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $31.88 / $47.20	Facility		$23.91	$31.88	$47.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $36.29 / $51.84	Professional		$23.91	$36.29	$51.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $39.35 / $57.92	Professional		$27.04	$39.35	$57.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $37.84 / $61.99	Professional		$36.04	$37.84	$61.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $52.91 / $87.26	Professional		$35.95	$52.91	$87.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $52.03 / $65.04	Professional		$38.46	$52.03	$65.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $41.65 / $64.12	Facility		$26.70	$41.65	$64.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $71.00 / $103.22	Professional		$57.50	$71.00	$103.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $44.36 / $67.37	Facility		$32.50	$44.36	$67.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $64.15 / $89.73	Professional		$48.11	$64.15	$89.73
United Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $64.75 / $98.16	Professional		$35.93	$64.75	$98.16