Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $192.08	Facility		$42.90	$42.90	$192.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $42.90 / $91.94	Professional		$22.89	$42.90	$91.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $26.40 / $35.15	Professional		$26.40	$26.40	$35.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $38.75 / $47.45	Professional		$38.75	$38.75	$47.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $44.91 / $44.91	Facility		$44.91	$44.91	$44.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $38.17 / $55.47	Professional		$38.17	$38.17	$55.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $62.48 / $83.30	Professional		$48.59	$62.48	$83.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $45.76 / $79.28	Facility		$20.46	$45.76	$79.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $91.18 / $115.62	Professional		$43.00	$91.18	$115.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $54.33 / $94.91	Facility		$45.45	$54.33	$94.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $54.33 / $94.91	Professional		$45.45	$54.33	$94.91
United Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $34.63 / $52.16	Professional		$31.04	$34.63	$52.16