Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $59.01 / $59.01	Facility		$59.01	$59.01	$59.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $59.01 / $82.97	Professional		$42.21	$59.01	$82.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $80.17 / $80.17	Professional		$80.17	$80.17	$80.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $83.58 / $83.58	Professional		$83.58	$83.58	$83.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $87.12	Facility		$65.95	$65.95	$87.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $87.12	Professional		$56.07	$65.95	$87.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $83.37 / $116.72	Professional		$68.66	$83.37	$116.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $57.27 / $129.03	Facility		$40.99	$57.27	$129.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $112.52 / $112.52	Professional		$112.52	$112.52	$112.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $55.08 / $115.73	Facility		$6.69	$55.08	$115.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $43.60 / $112.41	Professional		$6.69	$43.60	$112.41
United Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $58.76 / $86.78	Professional		$49.46	$58.76	$86.78