Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $58.61 / $296.00	Facility		$46.18	$58.61	$296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $64.84 / $97.91	Professional		$48.72	$64.84	$97.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $63.91 / $63.91	Facility		$63.91	$63.91	$63.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $75.45 / $95.08	Professional		$24.73	$75.45	$95.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $142.01	Professional		$75.14	$75.14	$142.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $70.45 / $125.00	Professional		$31.50	$70.45	$125.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $71.09 / $90.38	Professional		$56.49	$71.09	$90.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $68.95 / $103.43	Facility		$55.43	$68.95	$103.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $87.00 / $151.91	Professional		$81.00	$87.00	$151.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.85 / $88.05 / $136.44	Facility		$52.85	$88.05	$136.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $97.42 / $154.26	Professional		$53.29	$97.42	$154.26
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $71.09 / $120.13	Professional		$40.00	$71.09	$120.13