Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $54.91 / $54.91	Facility		$43.54	$54.91	$54.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $54.91 / $67.66	Professional		$28.80	$54.91	$67.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $94.36	Facility		$88.85	$88.85	$94.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $72.08	Professional		$57.66	$57.66	$72.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $60.74	Professional		$49.59	$49.59	$60.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $61.25	Professional		$43.41	$43.41	$61.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $88.85 / $106.62	Professional		$66.64	$88.85	$106.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $58.57 / $102.18	Facility		$25.75	$58.57	$102.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $116.71 / $148.00	Professional		$59.00	$116.71	$148.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $71.05 / $121.48	Facility		$58.57	$71.05	$121.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $71.05 / $121.48	Professional		$58.57	$71.05	$121.48
United Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $44.32 / $68.29	Professional		$39.89	$44.32	$68.29