Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $71.73 / $94.99	Facility		$34.18	$71.73	$94.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $35.89 / $35.89	Professional		$34.18	$35.89	$35.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $72.12 / $116.21	Facility		$34.18	$72.12	$116.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $50.00 / $75.45	Professional		$43.94	$50.00	$75.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $32.25 / $34.18	Facility		$32.25	$32.25	$34.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $38.95 / $41.02	Professional		$29.05	$38.95	$41.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $34.18 / $42.62	Facility		$9.07	$34.18	$42.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $33.15 / $43.75	Facility		$31.85	$33.15	$43.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $33.15 / $43.75	Professional		$31.85	$33.15	$43.75
United Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $33.07 / $33.07	Facility		$33.07	$33.07	$33.07
United Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $34.18 / $38.95	Professional		$33.63	$34.18	$38.95