Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $36.83 / $36.83	Facility		$30.48	$36.83	$36.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $36.83 / $36.83	Professional		$29.97	$36.83	$36.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $74.47 / $79.09	Facility		$74.47	$74.47	$79.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $49.23	Professional		$36.97	$36.97	$49.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $40.77	Facility		$40.77	$40.77	$40.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $40.77	Professional		$29.76	$29.76	$40.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $67.02 / $89.36	Professional		$52.13	$67.02	$89.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $45.82 / $84.77	Facility		$20.07	$45.82	$84.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $93.09 / $124.04	Professional		$45.00	$93.09	$124.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $56.22 / $93.25	Facility		$42.97	$56.22	$93.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $56.22 / $93.25	Professional		$42.97	$56.22	$93.25
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $37.15 / $55.99	Professional		$28.76	$37.15	$55.99