Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $75.56 / $94.48	Facility		$66.67	$75.56	$94.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $81.20 / $124.87	Professional		$65.59	$81.20	$124.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $79.81 / $79.81	Facility		$79.81	$79.81	$79.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $86.08 / $113.63	Professional		$66.01	$86.08	$113.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $91.33 / $157.09	Professional		$85.87	$91.33	$157.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $124.93	Facility		$124.93	$124.93	$124.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $91.00 / $131.94	Professional		$66.19	$91.00	$131.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $81.11 / $101.11	Professional		$65.72	$81.11	$101.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $94.22 / $128.66	Facility		$71.70	$94.22	$128.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $129.50 / $178.78	Professional		$111.00	$129.50	$178.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.44 / $111.75 / $171.55	Facility		$78.44	$111.75	$171.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $122.84 / $195.96	Professional		$86.00	$122.84	$195.96
United Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $102.38 / $164.35	Professional		$74.67	$102.38	$164.35