Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $77.62	Facility		$25.12	$30.20	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $54.95	Professional		$25.12	$30.90	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Facility		$63.10	$63.10	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $69.18	Professional		$33.11	$33.11	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $42.66	Professional		$32.36	$32.36	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $34.67 / $34.67	Facility		$27.54	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Professional		$25.70	$25.70	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $87.10	Professional		$43.65	$63.10	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $61.66	Professional		$31.62	$40.74	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $74.13	Facility		$25.12	$40.74	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $33.88 / $77.62	Professional		$10.00	$33.88	$77.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $181.97	Facility		$30.20	$51.29	$181.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $181.97	Professional		$30.20	$51.29	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $89.13	Facility		$19.05	$27.54	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $48.98	Professional		$27.54	$30.90	$48.98