Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $41.52 / $89.86	Facility		$14.88	$41.52	$89.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $41.52 / $41.52	Professional		$39.54	$41.52	$41.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $49.83 / $75.20	Professional		$43.79	$49.83	$75.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $39.54	Facility		$37.29	$37.29	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $47.45 / $82.00	Professional		$33.61	$47.45	$82.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $75.50 / $86.99	Facility		$39.54	$75.50	$86.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Professional		$76.00	$76.00	$76.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $47.84 / $82.08	Facility		$37.56	$47.84	$82.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $47.84 / $82.08	Professional		$37.56	$47.84	$82.08
United Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $39.54 / $49.62	Professional		$38.35	$39.54	$49.62