Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $75.86	Professional		$46.77	$54.95	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $81.28	Professional		$51.29	$60.26	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $104.71	Professional		$66.07	$75.86	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $79.43	Professional		$61.66	$61.66	$79.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $128.82	Facility		$39.81	$54.95	$128.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $51.29 / $109.65	Facility		$6.31	$51.29	$109.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $41.69 / $104.71	Professional		$6.17	$41.69	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $41.69 / $60.26	Facility		$4.68	$41.69	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $87.10	Professional		$46.77	$56.23	$87.10