Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $69.14 / $87.42	Facility		$58.52	$69.14	$87.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $84.20 / $122.63	Professional		$61.01	$84.20	$122.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $81.06 / $81.06	Facility		$81.06	$81.06	$81.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $95.50 / $120.17	Professional		$34.00	$95.50	$120.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $95.74 / $180.95	Professional		$95.74	$95.74	$180.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Facility		$140.25	$140.25	$140.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $95.06 / $162.01	Professional		$51.00	$95.06	$162.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $90.39 / $114.92	Professional		$71.83	$90.39	$114.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $90.01 / $135.69	Facility		$71.67	$90.01	$135.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $112.00 / $189.29	Professional		$103.00	$112.00	$189.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $114.57 / $171.79	Facility		$78.04	$114.57	$171.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $123.20 / $195.08	Professional		$82.06	$123.20	$195.08
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $92.52 / $153.51	Professional		$60.00	$92.52	$153.51