Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $67.17 / $194.46	Facility		$67.17	$67.17	$194.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $67.17 / $117.69	Professional		$37.60	$67.17	$117.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $306.83 / $400.68	Facility		$242.85	$306.83	$400.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $90.55 / $130.44	Professional		$67.73	$90.55	$130.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $125.55 / $302.60	Professional		$85.98	$125.55	$302.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $89.90 / $189.21	Professional		$41.77	$89.90	$189.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $91.57 / $112.94	Professional		$76.31	$91.57	$112.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.38 / $91.84 / $139.91	Facility		$59.38	$91.84	$139.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $56.00 / $115.52	Professional		$28.00	$56.00	$115.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $56.34 / $124.93	Facility		$23.12	$56.34	$124.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $73.95 / $160.96	Professional		$25.70	$73.95	$160.96
United Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $92.42 / $130.24	Professional		$50.06	$92.42	$130.24