Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $78.89 / $78.89	Facility		$78.89	$78.89	$78.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $78.89 / $102.41	Professional		$72.68	$78.89	$102.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $133.43 / $133.43	Facility		$133.43	$133.43	$133.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $106.35 / $106.35	Professional		$106.35	$106.35	$106.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $87.63 / $93.49	Professional		$87.63	$87.63	$93.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $102.21	Facility		$57.76	$57.76	$102.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $119.96	Professional		$49.10	$57.76	$119.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $116.93 / $146.77	Professional		$96.29	$116.93	$146.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $73.09 / $133.43	Facility		$42.97	$73.09	$133.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $15.38 / $109.96	Facility		$8.42	$15.38	$109.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $15.38 / $108.81	Professional		$8.42	$15.38	$108.81
United Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $66.56 / $89.87	Professional		$60.16	$66.56	$89.87