Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $42.38 / $84.27	Facility		$36.69	$42.38	$84.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.06 / $44.72	Professional		$36.69	$37.06	$44.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $75.95 / $119.98	Facility		$36.69	$75.95	$119.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $49.26	Professional		$36.69	$36.69	$49.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.96 / $36.96	Professional		$36.70	$36.96	$36.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $36.69	Facility		$34.61	$34.61	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $36.69 / $56.13	Professional		$31.19	$36.69	$56.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $40.72 / $66.52	Facility		$36.69	$40.72	$66.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $55.00 / $89.78	Professional		$37.40	$55.00	$89.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $44.39 / $56.37	Facility		$36.69	$44.39	$56.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $44.39 / $56.37	Professional		$36.69	$44.39	$56.37
United Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $61.92 / $99.45	Facility		$37.53	$61.92	$99.45
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $38.89 / $43.29	Professional		$36.69	$38.89	$43.29