Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $37.42 / $37.42	Facility		$34.85	$37.42	$37.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $36.81 / $50.19	Professional		$34.85	$36.81	$50.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $66.48 / $70.59	Facility		$66.48	$66.48	$70.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $42.17 / $51.85	Professional		$42.17	$42.17	$51.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $58.43 / $58.43	Professional		$58.43	$58.43	$58.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $54.64	Facility		$44.23	$44.23	$54.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $45.42	Professional		$37.60	$37.60	$45.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $60.29 / $95.83	Professional		$45.22	$60.29	$95.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $63.30 / $141.06	Facility		$36.17	$63.30	$141.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $100.00 / $133.00	Professional		$53.32	$100.00	$133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $66.36 / $141.06	Facility		$39.90	$66.36	$141.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $66.36 / $141.06	Professional		$39.90	$66.36	$141.06
United Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $42.60 / $44.31	Facility		$33.97	$42.60	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $39.11 / $112.85	Professional		$32.20	$39.11	$112.85