Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $31.81 / $31.81	Facility		$26.33	$31.81	$31.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $31.81 / $35.39	Professional		$26.33	$31.81	$35.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $64.33 / $68.31	Facility		$64.33	$64.33	$68.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $45.80	Professional		$34.47	$34.47	$45.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $33.79 / $43.97	Professional		$33.79	$33.79	$43.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Facility		$36.78	$36.78	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $26.85	Professional		$26.85	$26.85	$26.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $57.90 / $77.20	Professional		$45.03	$57.90	$77.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $39.04 / $73.23	Facility		$18.96	$39.04	$73.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $80.41 / $107.15	Professional		$38.00	$80.41	$107.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $48.55 / $82.16	Facility		$25.44	$48.55	$82.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $48.55 / $82.16	Professional		$25.44	$48.55	$82.16
United Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $78.48 / $94.18	Facility		$78.48	$78.48	$94.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $32.09 / $48.33	Professional		$27.15	$32.09	$48.33