Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $39.81	Facility		$38.02	$38.02	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $74.13	Professional		$38.02	$38.02	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $102.33	Professional		$60.26	$60.26	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $75.86	Professional		$30.90	$30.90	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $38.90	Facility		$36.31	$36.31	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $194.98	Professional		$87.10	$131.83	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $19.95	Professional		$19.05	$19.95	$19.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $41.69 / $83.18	Facility		$38.90	$41.69	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $109.65	Professional		$38.90	$38.90	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $72.44	Facility		$46.77	$58.88	$72.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $72.44	Professional		$46.77	$58.88	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $125.89	Professional		$61.66	$83.18	$125.89