Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $69.18	Facility		$45.71	$57.54	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $85.11	Professional		$47.86	$61.66	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $112.20	Professional		$60.26	$81.28	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $91.20	Professional		$70.79	$72.44	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $123.03	Professional		$50.12	$67.61	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $93.33	Professional		$53.70	$70.79	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $112.20	Facility		$58.88	$74.13	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Professional		$61.66	$61.66	$64.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $141.25	Facility		$63.10	$102.33	$141.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $147.91	Professional		$67.61	$107.15	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $74.13 / $131.83	Professional		$10.47	$74.13	$131.83