Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $41.69	Facility		$30.90	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $63.10	Professional		$23.99	$30.90	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $79.43	Professional		$46.77	$46.77	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $95.50	Professional		$47.86	$60.26	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $89.13	Facility		$29.51	$47.86	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $40.74	Professional		$33.11	$39.81	$40.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.23 / $213.80	Facility		$43.65	$56.23	$213.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $213.80	Professional		$43.65	$54.95	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $47.86	Professional		$27.54	$30.20	$47.86