Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $74.81 / $74.81	Facility		$74.81	$74.81	$74.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $74.81 / $98.64	Professional		$63.35	$74.81	$98.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.52 / $128.52 / $128.52	Facility		$128.52	$128.52	$128.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $94.61 / $94.61	Professional		$94.61	$94.61	$94.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $77.17 / $86.11	Professional		$77.17	$77.17	$86.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $89.48	Facility		$78.94	$78.94	$89.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $97.75	Professional		$67.09	$67.09	$97.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $107.70 / $141.37	Professional		$89.96	$107.70	$141.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.18 / $68.78 / $128.51	Facility		$35.18	$68.78	$128.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Professional		$83.00	$83.00	$83.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $14.75 / $104.81	Facility		$7.98	$14.75	$104.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $14.75 / $104.81	Professional		$7.98	$14.75	$104.81
United Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $63.55 / $96.58	Professional		$46.91	$63.55	$96.58