Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $52.10 / $8,917.57	Facility		$30.23	$52.10	$8,917.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.43 / $53.80	Professional		$30.23	$30.43	$53.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $40.52	Professional		$30.23	$30.23	$40.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $35.52 / $41.91	Professional		$35.52	$35.52	$41.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $30.23	Facility		$28.52	$28.52	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.23 / $48.69	Professional		$25.70	$30.23	$48.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $31.74 / $55.19	Facility		$30.23	$31.74	$55.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $53.13 / $76.00	Professional		$36.56	$53.13	$76.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $36.36 / $51.69	Facility		$30.30	$36.36	$51.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $36.36 / $51.69	Professional		$30.30	$36.36	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $33.86	Professional		$30.23	$30.23	$33.86