Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $54.68 / $76.14	Professional		$47.64	$54.68	$76.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Facility		$90.90	$90.90	$90.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $72.98 / $72.98	Professional		$72.98	$72.98	$72.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $68.27 / $68.27	Professional		$68.27	$68.27	$68.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $71.44	Professional		$54.60	$54.60	$71.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $76.59 / $103.70	Professional		$65.36	$76.59	$103.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $63.45 / $118.70	Facility		$31.85	$63.45	$118.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $11.07 / $80.19	Facility		$5.83	$11.07	$80.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $11.07 / $78.73	Professional		$5.83	$11.07	$78.73
United Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $54.09 / $81.28	Professional		$44.70	$54.09	$81.28