Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $70.79 / $131.83	Facility		$25.12	$70.79	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $38.02	Professional		$21.88	$25.70	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $134.90	Facility		$33.88	$33.88	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $22.91	Professional		$13.49	$13.49	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $27.54 / $30.90	Professional		$26.30	$27.54	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $173.78	Facility		$34.67	$83.18	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $47.86	Professional		$33.88	$37.15	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $56.23	Facility		$26.92	$37.15	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $70.79	Professional		$21.88	$21.88	$70.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $66.07	Facility		$23.44	$33.88	$66.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $66.07	Professional		$23.44	$33.88	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $40.74	Facility		$20.42	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $38.90	Professional		$14.13	$16.98	$38.90