Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $31.67 / $31.67	Facility		$26.22	$31.67	$31.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $31.67 / $35.42	Professional		$23.80	$31.67	$35.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $64.06 / $68.04	Facility		$64.06	$64.06	$68.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $30.13 / $38.97	Professional		$30.13	$30.13	$38.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $43.80	Professional		$34.00	$34.00	$43.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $30.91	Professional		$22.56	$22.56	$30.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $57.66 / $76.88	Professional		$44.85	$57.66	$76.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $37.04 / $71.72	Facility		$15.93	$37.04	$71.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $80.09 / $106.72	Professional		$28.00	$80.09	$106.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $48.35 / $80.22	Facility		$36.95	$48.35	$80.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $48.35 / $80.22	Professional		$36.95	$48.35	$80.22
United Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $31.96 / $48.15	Professional		$22.41	$31.96	$48.15