Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $90.34 / $90.34	Facility		$90.34	$90.34	$90.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $90.34 / $111.29	Professional		$60.92	$90.34	$111.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $146.16 / $146.16	Facility		$146.16	$146.16	$146.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $76.15 / $94.36	Professional		$76.15	$76.15	$94.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $108.47	Professional		$52.79	$62.10	$108.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $105.60 / $147.85	Professional		$93.18	$105.60	$147.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $72.15 / $124.24	Facility		$40.01	$72.15	$124.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $16.23 / $120.45	Facility		$10.70	$16.23	$120.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $18.57 / $120.45	Professional		$10.70	$18.57	$120.45
United Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $71.14 / $88.92	Professional		$53.35	$71.14	$88.92