Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $61.66 / $114.82	Facility		$21.88	$61.66	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $33.88	Professional		$19.05	$22.91	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $117.49	Facility		$29.51	$29.51	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $24.55	Professional		$14.45	$14.45	$24.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $26.92	Professional		$22.91	$23.99	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $72.44 / $151.36	Facility		$30.20	$72.44	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $43.65	Professional		$19.05	$36.31	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $41.69	Professional		$29.51	$32.36	$41.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $51.29	Facility		$23.44	$36.31	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $61.66	Professional		$21.38	$21.38	$61.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $60.26	Facility		$20.89	$29.51	$60.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $58.88	Professional		$20.89	$29.51	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $35.48	Facility		$19.95	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $38.02	Professional		$12.30	$16.60	$38.02