Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $49.73 / $49.73	Facility		$49.73	$49.73	$49.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $49.73 / $62.62	Professional		$27.25	$49.73	$62.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $82.68 / $82.68	Facility		$82.68	$82.68	$82.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $61.31	Professional		$61.31	$61.31	$61.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $58.79 / $58.79	Professional		$58.79	$58.79	$58.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $70.95	Facility		$54.06	$54.06	$70.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $54.06 / $70.95	Professional		$45.95	$54.06	$70.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $70.28 / $91.29	Professional		$58.09	$70.28	$91.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $49.73 / $83.30	Facility		$26.46	$49.73	$83.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Professional		$58.00	$58.00	$58.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $46.42 / $75.63	Facility		$5.30	$46.42	$75.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $34.09 / $72.55	Professional		$5.30	$34.09	$72.55
United Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $40.99 / $63.15	Professional		$35.27	$40.99	$63.15