Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $65.18 / $138.03	Facility		$36.71	$65.18	$138.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $36.71 / $48.95	Professional		$33.67	$36.71	$48.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $153.97 / $201.44	Facility		$122.09	$153.97	$201.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $45.27 / $66.14	Professional		$36.36	$45.27	$66.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $40.10 / $50.12	Professional		$40.10	$40.10	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $45.11 / $45.11	Facility		$45.11	$45.11	$45.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $53.57 / $93.55	Professional		$32.25	$53.57	$93.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $46.28 / $56.71	Professional		$38.56	$46.28	$56.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $52.16 / $67.18	Facility		$36.71	$52.16	$67.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $73.00 / $94.85	Professional		$55.88	$73.00	$94.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $61.30 / $100.76	Facility		$41.26	$61.30	$100.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $61.30 / $100.76	Professional		$41.26	$61.30	$100.76
United Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $93.44 / $93.44	Facility		$33.22	$93.44	$93.44
United Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $52.40 / $83.13	Professional		$34.03	$52.40	$83.13