Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.09 / $41.09 / $44.92	Facility		$41.09	$41.09	$44.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $41.09 / $50.33	Professional		$36.67	$41.09	$50.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $44.35	Professional		$33.31	$33.31	$44.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $44.96 / $45.44	Professional		$44.96	$44.96	$45.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $39.94	Facility		$39.94	$39.94	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $33.95 / $46.99	Professional		$33.95	$33.95	$46.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $66.48 / $79.78	Professional		$49.86	$66.48	$79.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $43.83 / $75.91	Facility		$18.20	$43.83	$75.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $87.31 / $110.72	Professional		$43.00	$87.31	$110.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $52.46 / $90.89	Facility		$43.83	$52.46	$90.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $52.46 / $90.89	Professional		$43.83	$52.46	$90.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $33.17 / $46.99	Professional		$25.84	$33.17	$46.99