Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $77.17 / $77.17	Facility		$77.17	$77.17	$77.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $77.17 / $105.54	Professional		$59.71	$77.17	$105.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $128.30 / $128.30	Facility		$128.30	$128.30	$128.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $99.05 / $99.05	Professional		$99.05	$99.05	$99.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.65 / $112.65 / $112.65	Professional		$112.65	$112.65	$112.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $116.29	Facility		$81.62	$81.62	$116.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $109.27	Professional		$69.38	$81.62	$109.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $95.35 / $133.49	Professional		$84.14	$95.35	$133.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $77.17 / $182.54	Facility		$57.98	$77.17	$182.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.19 / $234.19 / $234.19	Professional		$234.19	$234.19	$234.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $72.02 / $180.54	Facility		$8.75	$72.02	$180.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $58.45 / $176.83	Professional		$8.75	$58.45	$176.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $78.33 / $121.27	Professional		$63.90	$78.33	$121.27