Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $25.14 / $25.14	Facility		$20.81	$25.14	$25.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $25.14 / $28.00	Professional		$20.81	$25.14	$28.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $50.84 / $53.99	Facility		$50.84	$50.84	$53.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $27.25 / $36.20	Professional		$27.25	$27.25	$36.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $34.76	Professional		$32.00	$32.00	$34.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $26.52	Professional		$26.52	$26.52	$26.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $45.76 / $61.01	Professional		$35.59	$45.76	$61.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $31.27 / $57.04	Facility		$14.99	$31.27	$57.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $63.55 / $84.68	Professional		$33.00	$63.55	$84.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $38.36 / $64.95	Facility		$23.67	$38.36	$64.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $38.36 / $64.95	Professional		$23.67	$38.36	$64.95
United Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $23.01 / $26.87	Facility		$17.48	$23.01	$26.87
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $25.37 / $38.11	Professional		$21.08	$25.37	$38.11