Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $47.79 / $166.62	Facility		$26.46	$47.79	$166.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.46 / $28.44	Professional		$25.20	$25.46	$28.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $33.83	Professional		$25.20	$25.20	$33.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $23.50 / $25.21	Professional		$23.50	$23.50	$25.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $25.20	Facility		$23.78	$23.78	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $47.41	Professional		$21.42	$25.20	$47.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $37.47 / $74.73	Facility		$25.20	$37.47	$74.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $42.50 / $72.00	Professional		$31.70	$42.50	$72.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $30.24 / $44.09	Facility		$25.20	$30.24	$44.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $30.24 / $44.09	Professional		$25.20	$30.24	$44.09
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.71 / $29.76	Professional		$25.20	$26.71	$29.76