Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $34.49 / $109.09	Facility		$34.49	$34.49	$109.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $34.49 / $41.62	Professional		$28.55	$34.49	$41.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $69.75 / $74.06	Facility		$69.75	$69.75	$74.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $41.79 / $55.07	Professional		$41.79	$41.79	$55.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Facility		$43.58	$43.58	$43.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $43.58	Professional		$31.81	$31.81	$43.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $62.78 / $83.70	Professional		$48.83	$62.78	$83.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $42.90 / $79.40	Facility		$22.47	$42.90	$79.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $87.19 / $116.18	Professional		$39.00	$87.19	$116.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $52.64 / $87.34	Facility		$40.24	$52.64	$87.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $52.64 / $87.34	Professional		$40.24	$52.64	$87.34
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $34.79 / $52.42	Professional		$31.45	$34.79	$52.42