Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $33.85 / $33.85	Facility		$28.01	$33.85	$33.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $33.85 / $41.11	Professional		$28.01	$33.85	$41.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $72.69	Facility		$68.45	$68.45	$72.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $41.54 / $53.09	Professional		$41.54	$41.54	$53.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $46.80	Professional		$37.00	$37.00	$46.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $42.77 / $42.77	Facility		$36.58	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $42.77	Professional		$31.22	$31.22	$42.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $61.61 / $82.14	Professional		$47.92	$61.61	$82.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $42.10 / $77.92	Facility		$22.05	$42.10	$77.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $85.56 / $114.01	Professional		$38.00	$85.56	$114.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.49 / $51.66 / $85.71	Facility		$39.49	$51.66	$85.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $51.66 / $85.71	Professional		$39.49	$51.66	$85.71
United Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $33.85 / $38.72	Facility		$25.72	$33.85	$38.72
United Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $34.15 / $51.44	Professional		$30.86	$34.15	$51.44