Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $62.06 / $445.28	Facility		$31.37	$62.06	$445.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $31.67 / $31.67	Professional		$30.17	$31.67	$31.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $51.02 / $76.98	Professional		$44.83	$51.02	$76.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $28.46 / $30.17	Facility		$28.46	$28.46	$30.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $36.20 / $46.88	Professional		$25.64	$36.20	$46.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $30.17 / $75.55	Facility		$4.63	$30.17	$75.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.66 / $36.51 / $45.72	Facility		$28.66	$36.51	$45.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $36.51 / $45.72	Professional		$28.66	$36.51	$45.72
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $30.17 / $37.86	Professional		$29.26	$30.17	$37.86