Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $27.18 / $30.57	Facility		$27.18	$27.18	$30.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $27.18 / $33.15	Professional		$21.96	$27.18	$33.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $48.07	Facility		$45.26	$45.26	$48.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $27.77 / $34.71	Professional		$27.77	$27.77	$34.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $24.04 / $30.98	Professional		$24.04	$24.04	$30.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $30.01	Professional		$21.27	$21.27	$30.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $45.26 / $54.31	Professional		$33.95	$45.26	$54.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $28.99 / $51.44	Facility		$11.45	$28.99	$51.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $59.42 / $75.36	Professional		$27.72	$59.42	$75.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $33.97 / $61.95	Facility		$26.16	$33.97	$61.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $33.97 / $60.33	Professional		$26.16	$33.97	$60.33
United Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $21.32 / $33.53	Professional		$17.80	$21.32	$33.53