Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.95 / $61.95 / $61.95	Facility		$61.95	$61.95	$61.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $53.81 / $86.15	Professional		$45.67	$53.81	$86.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $102.99 / $102.99	Facility		$102.99	$102.99	$102.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $80.73 / $80.73	Professional		$80.73	$80.73	$80.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $91.44 / $91.44	Professional		$91.44	$91.44	$91.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $92.30	Facility		$66.45	$66.45	$92.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $88.97	Professional		$56.49	$66.45	$88.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $78.66 / $110.12	Professional		$69.41	$78.66	$110.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $57.04 / $143.78	Facility		$45.67	$57.04	$143.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $169.97 / $169.97	Professional		$169.97	$169.97	$169.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $57.82 / $142.21	Facility		$7.02	$57.82	$142.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $46.63 / $139.28	Professional		$7.02	$46.63	$139.28
United Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $62.62 / $97.91	Professional		$51.86	$62.62	$97.91