Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $69.22 / $169.59	Facility		$55.74	$69.22	$169.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.22 / $117.67	Professional		$69.20	$69.22	$117.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $163.22 / $263.02	Facility		$77.36	$163.22	$263.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $69.62 / $69.62	Professional		$69.62	$69.62	$69.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $120.42 / $181.72	Professional		$105.82	$120.42	$181.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $81.43 / $105.42	Facility		$77.36	$81.43	$105.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $75.83 / $114.92	Facility		$65.23	$75.83	$114.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $75.83 / $114.92	Professional		$65.23	$75.83	$114.92
United Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $92.83	Professional		$77.36	$81.43	$92.83