Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $46.77 / $46.77	Facility		$42.66	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $61.66	Professional		$28.84	$42.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $93.33	Professional		$44.67	$44.67	$93.33
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 $38.02 / $38.02 / $38.90	Facility		$38.02	$38.02	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $32.36	Professional		$28.18	$32.36	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $100.00	Professional		$53.70	$70.79	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $74.13	Professional		$34.67	$50.12	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $87.10	Facility		$30.20	$51.29	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $46.77	Professional		$38.02	$42.66	$46.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $63.10 / $204.17	Facility		$48.98	$63.10	$204.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $204.17	Professional		$48.98	$63.10	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $46.77	Facility		$22.39	$28.84	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $57.54	Professional		$29.51	$34.67	$57.54