Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $63.50 / $66.81	Facility		$63.50	$63.50	$66.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $59.96 / $66.81	Professional		$43.36	$59.96	$66.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,114.62 / $3,867.83 / $5,502.91	Professional		$3,114.62	$3,867.83	$5,502.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $65.56 / $123.93	Professional		$65.56	$65.56	$123.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $44.86 / $93.82	Facility		$43.79	$44.86	$93.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $70.23 / $94.83	Professional		$56.19	$70.23	$94.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $63.50 / $100.45	Facility		$46.25	$63.50	$100.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $62.75 / $105.42	Professional		$30.00	$62.75	$105.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $46.86 / $92.98	Facility		$22.68	$46.86	$92.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $57.74 / $108.55	Professional		$24.04	$57.74	$108.55
United Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $72.27 / $112.31	Professional		$48.05	$72.27	$112.31