Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $51.29	Professional		$26.92	$30.90	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Facility		$60.26	$60.26	$64.57
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 $32.36 / $32.36 / $41.69	Professional		$32.36	$32.36	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $36.31 / $36.31	Facility		$24.55	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $36.31	Professional		$26.30	$26.30	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $85.11	Professional		$42.66	$60.26	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $60.26	Professional		$38.02	$39.81	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $43.65 / $81.28	Facility		$26.30	$43.65	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $42.66	Professional		$32.36	$39.81	$42.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $177.83	Facility		$34.67	$50.12	$177.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $177.83	Professional		$34.67	$50.12	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $77.62	Facility		$21.88	$43.65	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $44.67	Professional		$27.54	$29.51	$44.67