Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.55 / $52.55 / $52.55	Facility		$52.55	$52.55	$52.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $52.55 / $72.02	Professional		$35.84	$52.55	$72.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $87.38 / $87.38	Facility		$87.38	$87.38	$87.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $69.98 / $69.98	Professional		$69.98	$69.98	$69.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $76.45 / $76.45	Professional		$76.45	$76.45	$76.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.52	Facility		$57.54	$57.54	$75.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $75.52	Professional		$48.91	$57.54	$75.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $71.58 / $96.35	Professional		$60.73	$71.58	$96.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $47.69 / $109.57	Facility		$34.79	$47.69	$109.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Professional		$82.00	$82.00	$82.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $49.05 / $98.50	Facility		$5.96	$49.05	$98.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $38.27 / $95.43	Professional		$5.96	$38.27	$95.43
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $50.54 / $74.59	Professional		$42.50	$50.54	$74.59