Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $32.60 / $34.04	Facility		$31.58	$32.60	$34.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $32.60 / $57.88	Professional		$27.01	$32.60	$57.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $29.29 / $37.36	Professional		$0.02	$29.29	$37.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $55.95	Professional		$28.69	$28.69	$55.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $36.72 / $45.30	Professional		$29.17	$36.72	$45.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $34.04 / $53.37	Facility		$29.93	$34.04	$53.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $55.76 / $73.08	Professional		$43.97	$55.76	$73.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $38.35 / $60.10	Facility		$31.97	$38.35	$60.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $39.59 / $62.04	Professional		$33.00	$39.59	$62.04
United Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $38.20 / $62.69	Professional		$26.05	$38.20	$62.69