Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $79.43	Facility		$25.12	$30.20	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $52.48	Professional		$25.12	$30.90	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $67.61	Facility		$63.10	$63.10	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $75.86	Professional		$36.31	$36.31	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $43.65	Professional		$33.11	$33.11	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $48.98 / $48.98	Facility		$31.62	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $89.13	Professional		$44.67	$63.10	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $61.66	Professional		$30.20	$41.69	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.66 / $87.10	Facility		$25.70	$42.66	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $79.43	Professional		$28.18	$33.88	$79.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $181.97	Facility		$35.48	$52.48	$181.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $181.97	Professional		$35.48	$52.48	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $83.18	Facility		$20.42	$30.20	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $50.12	Professional		$28.18	$30.90	$50.12