Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $34.67 / $91.20	Facility		$28.84	$34.67	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $83.18	Professional		$28.84	$42.66	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Facility		$72.44	$72.44	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $89.13	Professional		$42.66	$42.66	$89.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $50.12	Professional		$38.02	$38.02	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $52.48	Facility		$39.81	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $102.33	Professional		$51.29	$72.44	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $72.44	Professional		$47.86	$47.86	$72.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $100.00	Facility		$29.51	$50.12	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $91.20	Professional		$38.90	$42.66	$91.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $60.26 / $208.93	Facility		$41.69	$60.26	$208.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $208.93	Professional		$41.69	$60.26	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $35.48 / $97.72	Facility		$23.99	$35.48	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $58.88	Professional		$33.11	$35.48	$58.88