Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $36.22 / $36.22	Facility		$29.99	$36.22	$36.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $36.22 / $40.32	Professional		$29.99	$36.22	$40.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $77.81	Facility		$73.27	$73.27	$77.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $39.27 / $52.18	Professional		$39.27	$39.27	$52.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $50.09	Professional		$40.90	$40.90	$50.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Professional		$30.59	$30.59	$30.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $65.94 / $87.92	Professional		$51.29	$65.94	$87.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $42.39 / $82.22	Facility		$21.60	$42.39	$82.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $91.59 / $122.05	Professional		$44.00	$91.59	$122.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $55.30 / $93.62	Facility		$30.07	$55.30	$93.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $55.30 / $93.62	Professional		$30.07	$55.30	$93.62
United Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $89.43 / $107.32	Facility		$89.43	$89.43	$107.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $36.56 / $54.93	Professional		$30.94	$36.56	$54.93