Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $35.43 / $35.43	Facility		$29.33	$35.43	$35.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $35.43 / $50.67	Professional		$29.33	$35.43	$50.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $76.11	Facility		$71.67	$71.67	$76.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $56.91	Professional		$43.10	$43.10	$56.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $48.99	Professional		$38.00	$38.00	$48.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $52.95	Professional		$38.65	$38.65	$52.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $64.50 / $86.00	Professional		$50.17	$64.50	$86.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $44.07 / $81.58	Facility		$23.08	$44.07	$81.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $89.59 / $119.37	Professional		$54.00	$89.59	$119.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $54.08 / $89.73	Facility		$41.34	$54.08	$89.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $54.08 / $89.73	Professional		$41.34	$54.08	$89.73
United Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $35.75 / $55.07	Professional		$32.32	$35.75	$55.07