Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $108.00	Facility		$23.11	$23.11	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $23.11 / $29.19	Professional		$14.53	$23.11	$29.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $43.82 / $46.54	Facility		$43.82	$43.82	$46.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $40.51	Professional		$32.40	$32.40	$40.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $24.46 / $29.95	Professional		$24.46	$24.46	$29.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $35.00	Facility		$29.97	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $35.00	Professional		$25.55	$25.55	$35.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $39.44 / $52.58	Professional		$30.67	$39.44	$52.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $27.24 / $51.24	Facility		$14.11	$27.24	$51.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $57.56 / $72.98	Professional		$30.00	$57.56	$72.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $32.93 / $53.59	Facility		$25.20	$32.93	$53.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $32.93 / $53.59	Professional		$25.20	$32.93	$53.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $21.86 / $37.68	Professional		$20.77	$21.86	$37.68