Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $38.34 / $38.34	Facility		$38.34	$38.34	$38.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $38.34 / $53.09	Professional		$29.41	$38.34	$53.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $63.74 / $63.74	Facility		$63.74	$63.74	$63.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $50.46 / $50.46	Professional		$50.46	$50.46	$50.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $50.45 / $58.10	Professional		$50.45	$50.45	$58.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $57.01	Facility		$41.54	$41.54	$57.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $41.54 / $55.62	Professional		$35.31	$41.54	$55.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $53.61 / $70.89	Professional		$44.68	$53.61	$70.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $38.34 / $89.94	Facility		$28.56	$38.34	$89.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $35.78 / $78.40	Facility		$4.59	$35.78	$78.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $28.96 / $76.92	Professional		$4.34	$28.96	$76.92
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $39.17 / $59.74	Professional		$32.86	$39.17	$59.74