Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $380.19 / $1,380.38	Facility		$30.20	$380.19	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $30.20	Professional		$28.18	$28.84	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $47.86	Professional		$28.84	$28.84	$47.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $138.04	Professional		$28.84	$28.84	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
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 $28.84 / $33.88 / $42.66	Professional		$28.84	$33.88	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $53.70	Facility		$28.84	$36.31	$53.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $43.65	Facility		$28.18	$33.88	$43.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $43.65	Professional		$28.18	$33.88	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $48.98	Facility		$36.31	$36.31	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31