Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $23.67 / $23.67	Facility		$19.60	$23.67	$23.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $23.67 / $26.34	Professional		$19.60	$23.67	$26.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $47.87 / $50.84	Facility		$47.87	$47.87	$50.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $34.08	Professional		$26.71	$26.71	$34.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $25.15 / $32.72	Professional		$25.15	$25.15	$32.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $43.08 / $57.44	Professional		$33.51	$43.08	$57.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $27.69 / $53.50	Facility		$14.11	$27.69	$53.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $59.84 / $79.75	Professional		$31.00	$59.84	$79.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $36.11 / $61.17	Facility		$18.35	$36.11	$61.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $36.11 / $61.17	Professional		$18.35	$36.11	$61.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $23.89 / $35.97	Professional		$19.85	$23.89	$35.97