Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $42.48 / $84.47	Facility		$36.67	$42.48	$84.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.04 / $44.83	Professional		$36.67	$37.04	$44.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $49.24	Professional		$36.67	$36.67	$49.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.04 / $37.04	Professional		$36.67	$37.04	$37.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $34.59 / $36.67	Facility		$34.59	$34.59	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $36.67 / $128.54	Professional		$31.17	$36.67	$128.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $46.20 / $392.92	Facility		$36.67	$46.20	$392.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $66.00 / $103.03	Professional		$43.00	$66.00	$103.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $44.00 / $62.08	Facility		$36.67	$44.00	$62.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $44.00 / $62.08	Professional		$36.67	$44.00	$62.08
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $38.86 / $43.64	Professional		$36.67	$38.86	$43.64