Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $64.57	Professional		$33.11	$39.81	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $83.18	Facility		$77.62	$77.62	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $245.47	Professional		$117.49	$117.49	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $53.70	Professional		$42.66	$42.66	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $61.66 / $61.66	Facility		$28.84	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $61.66	Professional		$52.48	$52.48	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $109.65	Professional		$54.95	$77.62	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $75.86	Professional		$38.90	$51.29	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $56.23 / $97.72	Facility		$33.11	$56.23	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $51.29	Professional		$41.69	$46.77	$51.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $63.10 / $223.87	Facility		$43.65	$63.10	$223.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $223.87	Professional		$43.65	$63.10	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $112.20	Facility		$26.92	$52.48	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $57.54	Professional		$34.67	$38.02	$57.54