Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $184.12	Facility		$75.15	$75.15	$184.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $78.91	Professional		$75.15	$75.15	$78.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $158.55 / $255.48	Facility		$75.14	$158.55	$255.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $70.19 / $70.19	Professional		$70.19	$70.19	$70.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $116.97 / $176.52	Professional		$102.79	$116.97	$176.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $80.88 / $80.88	Professional		$64.04	$80.88	$80.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $86.51 / $90.18	Professional		$63.88	$86.51	$90.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $75.15 / $114.45	Facility		$49.44	$75.15	$114.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $40.00 / $40.00	Professional		$29.00	$40.00	$40.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $79.01 / $106.29	Facility		$77.38	$79.01	$106.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $79.01 / $106.29	Professional		$77.38	$79.01	$106.29
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $86.51 / $90.84	Professional		$72.20	$86.51	$90.84