Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $69.73 / $87.23	Facility		$52.29	$69.73	$87.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $73.31 / $99.24	Professional		$55.56	$73.31	$99.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $76.63 / $99.48	Professional		$59.27	$76.63	$99.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $85.72 / $147.44	Professional		$77.15	$85.72	$147.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $109.78 / $109.78	Facility		$109.78	$109.78	$109.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $84.00 / $121.99	Professional		$59.60	$84.00	$121.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $71.33 / $89.00	Professional		$57.85	$71.33	$89.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $86.24 / $118.30	Facility		$62.57	$86.24	$118.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $132.13 / $156.60	Professional		$98.00	$132.13	$156.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $103.71 / $153.13	Facility		$71.69	$103.71	$153.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $112.53 / $173.32	Professional		$76.06	$112.53	$173.32
United Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $95.21 / $166.96	Professional		$68.59	$95.21	$166.96