Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $30.20	Facility		$26.92	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $38.90	Professional		$16.98	$26.92	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $48.98	Facility		$45.71	$45.71	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $52.48	Professional		$25.12	$25.12	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $31.62	Professional		$23.99	$23.99	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Professional		$21.38	$21.38	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $64.57	Professional		$34.67	$45.71	$64.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $26.30	Professional		$19.95	$26.30	$26.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $56.23	Facility		$17.78	$31.62	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $28.84	Professional		$23.99	$26.92	$28.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $128.82	Facility		$26.92	$37.15	$128.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $128.82	Professional		$26.92	$37.15	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $29.51 / $33.88	Facility		$13.49	$29.51	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $34.67	Professional		$18.62	$21.38	$34.67