Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.09 / $41.09 / $41.53	Facility		$41.09	$41.09	$41.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $41.09 / $41.53	Professional		$30.66	$41.09	$41.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $77.92 / $82.75	Facility		$77.92	$77.92	$82.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.13 / $49.15	Professional		$39.13	$39.13	$49.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $53.26	Professional		$42.00	$42.00	$53.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $44.94 / $44.94	Facility		$41.66	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $32.81 / $44.94	Professional		$32.81	$32.81	$44.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $70.13 / $93.50	Professional		$54.54	$70.13	$93.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $46.93 / $87.44	Facility		$19.75	$46.93	$87.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $102.34 / $129.78	Professional		$34.00	$102.34	$129.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $58.81 / $97.55	Facility		$44.94	$58.81	$97.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $58.81 / $97.55	Professional		$44.94	$58.81	$97.55
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $38.86 / $55.88	Professional		$34.52	$38.86	$55.88