Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $45.71 / $234.42	Facility		$41.69	$45.71	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $138.04	Professional		$30.20	$58.88	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $54.95	Professional		$26.30	$26.30	$54.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $100.00	Professional		$50.12	$70.79	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $69.18	Professional		$35.48	$46.77	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $51.29 / $89.13	Facility		$28.84	$51.29	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $45.71	Professional		$32.36	$38.02	$45.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $60.26 / $204.17	Facility		$46.77	$60.26	$204.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $204.17	Professional		$46.77	$60.26	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.90 / $50.12	Facility		$23.99	$30.90	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $57.54	Professional		$31.62	$34.67	$57.54