Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $112.20	Professional		$64.57	$81.28	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $123.03	Professional		$109.65	$109.65	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $117.49	Professional		$77.62	$91.20	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $165.96	Professional		$102.33	$117.49	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $125.89	Professional		$97.72	$97.72	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $81.28 / $169.82	Facility		$53.70	$81.28	$169.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $75.86 / $151.36	Facility		$9.33	$75.86	$151.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $58.88 / $144.54	Professional		$8.71	$58.88	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $56.23 / $85.11	Facility		$6.76	$56.23	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $123.03	Professional		$67.61	$79.43	$123.03