Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $24.39 / $24.39	Facility		$20.19	$24.39	$24.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $24.39 / $27.14	Professional		$20.19	$24.39	$27.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $49.34 / $52.40	Facility		$49.34	$49.34	$52.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $27.52 / $35.13	Professional		$27.52	$27.52	$35.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $31.53 / $33.72	Professional		$31.53	$31.53	$33.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $33.84	Facility		$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $33.84	Professional		$24.70	$24.70	$33.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $44.41 / $59.21	Professional		$34.54	$44.41	$59.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $29.94 / $55.37	Facility		$14.54	$29.94	$55.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $61.68 / $82.18	Professional		$32.00	$61.68	$82.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $37.09 / $61.78	Facility		$18.92	$37.09	$61.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $37.34 / $63.05	Professional		$20.55	$37.34	$63.05
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $24.61 / $36.97	Professional		$20.83	$24.61	$36.97