Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $26.48 / $26.48	Facility		$21.92	$26.48	$26.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $26.48 / $34.57	Professional		$21.92	$26.48	$34.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $53.56 / $56.88	Facility		$53.56	$53.56	$56.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $32.25 / $42.58	Professional		$32.25	$32.25	$42.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $36.61	Professional		$29.00	$29.00	$36.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $39.15 / $39.15	Facility		$28.63	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $39.15	Professional		$28.59	$28.59	$39.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $48.20 / $64.27	Professional		$37.49	$48.20	$64.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $32.94 / $60.97	Facility		$17.25	$32.94	$60.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $66.95 / $89.22	Professional		$30.00	$66.95	$89.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.42 / $67.06	Facility		$30.90	$40.42	$67.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.42 / $67.06	Professional		$30.90	$40.42	$67.06
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $26.72 / $40.25	Professional		$24.15	$26.72	$40.25