Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $67.58 / $67.58	Facility		$67.58	$67.58	$67.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $67.58 / $84.03	Professional		$52.98	$67.58	$84.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $75.56 / $75.56	Professional		$75.56	$75.56	$75.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $95.86	Professional		$62.08	$73.04	$95.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $90.79 / $127.10	Professional		$80.11	$90.79	$127.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $61.66 / $116.46	Facility		$37.51	$61.66	$116.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $100.34 / $100.34	Professional		$100.34	$100.34	$100.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $12.98 / $91.07	Facility		$7.21	$12.98	$91.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $12.98 / $91.07	Professional		$7.21	$12.98	$91.07
United Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $42.67 / $77.41	Facility		$5.54	$42.67	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $57.58 / $92.77	Professional		$50.01	$57.58	$92.77