Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $87.74	Facility		$27.36	$27.36	$87.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $27.36 / $32.39	Professional		$22.65	$27.36	$32.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.34 / $55.34 / $58.77	Facility		$55.34	$55.34	$58.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $39.40	Professional		$30.58	$30.58	$39.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $30.89 / $37.83	Professional		$30.89	$30.89	$37.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $33.22	Professional		$24.25	$24.25	$33.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $49.81 / $66.41	Professional		$38.74	$49.81	$66.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $34.03 / $62.08	Facility		$16.30	$34.03	$62.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $69.18 / $92.17	Professional		$33.00	$69.18	$92.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $41.76 / $70.69	Facility		$29.07	$41.76	$70.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $41.76 / $70.69	Professional		$29.07	$41.76	$70.69
United Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $27.61 / $41.58	Professional		$23.36	$27.61	$41.58