Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.84 / $75.86	Facility		$23.99	$28.84	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $52.48	Professional		$23.99	$29.51	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Facility		$61.66	$61.66	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $67.61	Professional		$32.36	$32.36	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $41.69	Professional		$36.31	$36.31	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $36.31	Facility		$26.92	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $85.11	Professional		$42.66	$61.66	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $60.26	Professional		$30.90	$39.81	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $74.13	Facility		$24.55	$40.74	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $75.86	Professional		$33.11	$37.15	$75.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $177.83	Facility		$33.11	$50.12	$177.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $177.83	Professional		$33.11	$50.12	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $87.10	Facility		$18.62	$26.92	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $47.86	Professional		$26.92	$30.20	$47.86