Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $106.23	Facility		$52.00	$52.00	$106.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $63.44	Facility		$61.00	$61.00	$63.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $65.50 / $87.65	Professional		$65.50	$65.50	$87.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $71.06	Facility		$25.00	$25.00	$71.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $71.37 / $90.28	Professional		$51.85	$71.37	$90.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $58.76 / $88.45	Facility		$52.00	$58.76	$88.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $104.00 / $142.13	Professional		$70.00	$104.00	$142.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $65.14 / $110.09	Facility		$59.22	$65.14	$110.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $65.14 / $110.09	Professional		$59.22	$65.14	$110.09
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $35.53 / $59.22	Professional		$35.53	$35.53	$59.22