Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $44.67 / $75.86	Facility		$25.12	$44.67	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $64.57	Professional		$25.12	$41.69	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Facility		$60.26	$60.26	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $112.20	Professional		$53.70	$53.70	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $57.54	Professional		$50.12	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $52.48 / $52.48	Facility		$33.88	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $52.48	Professional		$44.67	$44.67	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $97.72	Professional		$39.81	$53.70	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $93.33	Facility		$25.70	$51.29	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $75.86	Professional		$50.12	$56.23	$75.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $123.03	Facility		$50.12	$72.44	$123.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $123.03	Professional		$50.12	$72.44	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $109.65	Facility		$29.51	$41.69	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $74.13	Professional		$41.69	$45.71	$74.13