Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $61.66	Professional		$38.02	$43.65	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $72.44	Professional		$58.88	$58.88	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $63.10	Facility		$48.98	$48.98	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $63.10	Professional		$41.69	$48.98	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $83.18	Professional		$52.48	$58.88	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $72.44	Professional		$56.23	$56.23	$72.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $100.00	Facility		$30.90	$44.67	$100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $41.69 / $87.10	Facility		$5.01	$41.69	$87.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $33.11 / $81.28	Professional		$4.79	$33.11	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $32.36 / $46.77	Facility		$3.80	$32.36	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $69.18	Professional		$37.15	$43.65	$69.18