Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $30.94 / $30.94	Facility		$25.61	$30.94	$30.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $30.46 / $30.94	Professional		$25.61	$30.46	$30.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $62.57 / $66.45	Facility		$62.57	$62.57	$66.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $29.46 / $38.65	Professional		$29.46	$29.46	$38.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $42.77	Professional		$34.00	$34.00	$42.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Facility		$31.92	$31.92	$31.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $23.30 / $31.92	Professional		$23.30	$23.30	$31.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $56.31 / $75.08	Professional		$43.80	$56.31	$75.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.49 / $70.20	Facility		$15.85	$38.49	$70.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $78.20 / $104.21	Professional		$35.00	$78.20	$104.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $47.22 / $78.34	Facility		$36.09	$47.22	$78.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $47.22 / $78.34	Professional		$36.09	$47.22	$78.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $31.21 / $46.90	Professional		$22.70	$31.21	$46.90