Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $35.32 / $70.22	Facility		$28.61	$35.32	$70.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $30.04 / $30.04	Professional		$28.61	$30.04	$30.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $60.37 / $97.27	Facility		$28.61	$60.37	$97.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $44.72 / $67.48	Professional		$39.29	$44.72	$67.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $28.61	Facility		$26.99	$26.99	$28.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $34.33 / $167.97	Professional		$24.32	$34.33	$167.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $84.96 / $173.28	Facility		$28.61	$84.96	$173.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $179.00 / $179.00	Professional		$179.00	$179.00	$179.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $34.61 / $85.44	Facility		$27.18	$34.61	$85.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $34.61 / $85.44	Professional		$27.18	$34.61	$85.44
United Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $28.61 / $35.90	Professional		$27.75	$28.61	$35.90