Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $79.43	Facility		$25.12	$30.90	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $56.23	Professional		$25.12	$30.90	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $72.44	Professional		$34.67	$34.67	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $43.65	Professional		$39.81	$39.81	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $38.02	Facility		$28.18	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $89.13	Professional		$44.67	$64.57	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $63.10	Professional		$32.36	$41.69	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.66 / $77.62	Facility		$25.70	$42.66	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $79.43	Professional		$34.67	$38.90	$79.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $186.21	Facility		$34.67	$52.48	$186.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $186.21	Professional		$34.67	$52.48	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $91.20	Facility		$19.50	$28.18	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $50.12	Professional		$28.18	$31.62	$50.12