Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $63.10	Professional		$30.20	$37.15	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Facility		$72.44	$72.44	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $93.33	Professional		$44.67	$44.67	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Professional		$39.81	$39.81	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $46.77 / $46.77	Facility		$30.90	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $100.00	Professional		$53.70	$72.44	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $70.79	Professional		$36.31	$46.77	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $89.13	Facility		$30.90	$51.29	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $46.77	Professional		$38.90	$43.65	$46.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $208.93	Facility		$40.74	$58.88	$208.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $208.93	Professional		$40.74	$58.88	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $104.71	Facility		$24.55	$48.98	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $56.23	Professional		$32.36	$35.48	$56.23