Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $67.70 / $90.81	Facility		$39.83	$67.70	$90.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $41.82 / $41.82	Professional		$39.83	$41.82	$41.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $84.02 / $135.38	Facility		$39.82	$84.02	$135.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $62.09 / $93.70	Professional		$54.56	$62.09	$93.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $37.57 / $39.83	Facility		$37.57	$37.57	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $45.60 / $47.80	Professional		$33.86	$45.60	$47.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $71.56	Facility		$39.83	$39.83	$71.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $38.76 / $50.98	Facility		$37.11	$38.76	$50.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $38.76 / $50.98	Professional		$37.11	$38.76	$50.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $39.83 / $45.60	Professional		$39.19	$39.83	$45.60