Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.90 / $65.67 / $68.95	Facility		$52.90	$65.67	$68.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $102.44	Professional		$65.67	$65.67	$102.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $154.87 / $249.56	Facility		$73.40	$154.87	$249.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $114.26 / $172.43	Professional		$100.41	$114.26	$172.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $77.26 / $100.65	Facility		$73.40	$77.26	$100.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $73.40 / $94.96	Facility		$69.14	$73.40	$94.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $73.40 / $94.96	Professional		$69.14	$73.40	$94.96
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $88.08	Professional		$73.40	$77.26	$88.08