Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $29.36 / $101.63	Facility		$29.36	$29.36	$101.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $29.36 / $39.79	Professional		$15.17	$29.36	$39.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $46.40 / $62.19	Professional		$46.40	$46.40	$62.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $27.03	Professional		$27.03	$27.03	$27.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $55.59 / $76.02	Professional		$40.38	$55.59	$76.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $39.79 / $63.65	Facility		$29.36	$39.79	$63.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $73.00 / $111.36	Professional		$31.32	$73.00	$111.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $46.40 / $80.77	Facility		$38.54	$46.40	$80.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $46.40 / $80.77	Professional		$38.54	$46.40	$80.77
United Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $23.70 / $37.54	Professional		$20.57	$23.70	$37.54