Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $44.67	Professional		$28.84	$34.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $52.48	Professional		$46.77	$46.77	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $41.69	Facility		$38.90	$38.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $46.77	Professional		$33.11	$38.90	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $69.18	Professional		$43.65	$51.29	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $47.86	Professional		$37.15	$37.15	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $64.57	Facility		$20.42	$35.48	$64.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $31.62 / $57.54	Facility		$3.98	$31.62	$57.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $24.55 / $54.95	Professional		$3.80	$24.55	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $21.38 / $38.02	Facility		$2.57	$21.38	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $47.86	Professional		$26.92	$30.20	$47.86