Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $38.67 / $39.08	Facility		$38.67	$38.67	$39.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.67 / $43.58	Professional		$38.57	$38.67	$43.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $73.31 / $77.87	Facility		$73.31	$73.31	$77.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $44.58 / $56.71	Professional		$44.58	$44.58	$56.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Professional		$39.00	$39.00	$39.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $45.81 / $45.81	Facility		$39.19	$45.81	$45.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $45.81	Professional		$33.44	$33.44	$45.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $65.98 / $87.98	Professional		$51.32	$65.98	$87.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $46.51 / $84.32	Facility		$23.61	$46.51	$84.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $96.31 / $122.13	Professional		$41.00	$96.31	$122.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $55.50 / $91.81	Facility		$42.29	$55.50	$91.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $55.50 / $91.81	Professional		$42.29	$55.50	$91.81
United Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $36.58 / $56.36	Professional		$34.09	$36.58	$56.36