Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $37.70 / $37.70	Facility		$31.21	$37.70	$37.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $37.70 / $43.54	Professional		$31.21	$37.70	$43.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $76.25 / $80.98	Facility		$76.25	$76.25	$80.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $46.18 / $58.82	Professional		$46.18	$46.18	$58.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $52.12	Professional		$41.00	$41.00	$52.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $54.11 / $54.11	Facility		$40.75	$54.11	$54.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $54.11	Professional		$39.50	$39.50	$54.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $68.63 / $91.50	Professional		$53.38	$68.63	$91.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $46.90 / $86.80	Facility		$24.56	$46.90	$86.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $95.31 / $127.00	Professional		$46.00	$95.31	$127.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $57.54 / $95.48	Facility		$43.98	$57.54	$95.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $57.54 / $95.48	Professional		$43.98	$57.54	$95.48
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $38.04 / $60.63	Professional		$34.38	$38.04	$60.63