Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.90 / $51.90 / $51.90	Facility		$51.90	$51.90	$51.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $51.90 / $67.18	Professional		$42.21	$51.90	$67.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $86.29 / $86.29	Facility		$86.29	$86.29	$86.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $69.44 / $69.44	Professional		$69.44	$69.44	$69.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $52.41 / $57.45	Professional		$52.41	$52.41	$57.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $62.28	Facility		$44.33	$44.33	$62.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $37.68 / $67.81	Professional		$37.68	$37.68	$67.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $71.84 / $100.59	Professional		$63.40	$71.84	$100.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $46.70 / $91.76	Facility		$25.13	$46.70	$91.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $12.75 / $78.83	Facility		$5.54	$12.75	$78.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $14.66 / $78.83	Professional		$5.54	$14.66	$78.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $43.93 / $68.97	Professional		$32.97	$43.93	$68.97