Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.02 / $38.02	Facility		$33.88	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $48.98	Professional		$23.99	$33.88	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $58.88	Professional		$28.18	$28.18	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $39.81	Professional		$38.02	$38.02	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Facility		$33.88	$33.88	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $33.88	Professional		$28.84	$28.84	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $81.28	Professional		$43.65	$57.54	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $60.26	Professional		$28.18	$40.74	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $40.74 / $70.79	Facility		$23.44	$40.74	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $38.02	Professional		$30.20	$30.90	$38.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $165.96	Facility		$39.81	$50.12	$165.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $165.96	Professional		$39.81	$50.12	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $27.54	Facility		$16.22	$21.88	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $43.65	Professional		$23.44	$28.18	$43.65