Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $51.34 / $55.75	Facility		$29.84	$51.34	$55.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $30.14 / $31.34	Professional		$29.83	$30.14	$31.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $62.96 / $101.46	Facility		$29.84	$62.96	$101.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $65.92 / $99.48	Professional		$57.93	$65.92	$99.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $28.15 / $29.84	Facility		$28.15	$28.15	$29.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $35.81 / $89.64	Professional		$25.36	$35.81	$89.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $47.73	Facility		$29.84	$29.84	$47.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $36.11 / $84.48	Facility		$28.35	$36.11	$84.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $36.11 / $84.48	Professional		$28.35	$36.11	$84.48
United Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $29.84 / $37.45	Professional		$28.94	$29.84	$37.45