Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $33.42 / $33.42	Facility		$26.07	$33.42	$33.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $33.42 / $41.18	Professional		$17.54	$33.42	$41.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $54.08 / $57.43	Facility		$54.08	$54.08	$57.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $42.96	Professional		$34.94	$34.94	$42.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $30.19 / $36.97	Professional		$30.19	$30.19	$36.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $37.29	Professional		$26.43	$26.43	$37.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $54.08 / $64.90	Professional		$40.56	$54.08	$64.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $35.65 / $61.75	Facility		$15.68	$35.65	$61.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $71.03 / $90.07	Professional		$37.95	$71.03	$90.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $42.33 / $73.93	Facility		$35.65	$42.33	$73.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $42.79 / $73.93	Professional		$35.65	$42.79	$73.93
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $26.98 / $42.78	Professional		$24.28	$26.98	$42.78