Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $55.52 / $110.40	Facility		$49.03	$55.52	$110.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $51.48 / $51.48	Professional		$49.03	$51.48	$51.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $103.45 / $166.70	Facility		$49.03	$103.45	$166.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $77.95 / $117.63	Professional		$68.50	$77.95	$117.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $46.26 / $49.03	Facility		$46.26	$46.26	$49.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $58.84 / $59.74	Professional		$41.68	$58.84	$59.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $41.60 / $71.72	Facility		$15.01	$41.60	$71.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $28.00	Professional		$28.00	$28.00	$28.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $49.03 / $62.76	Facility		$45.70	$49.03	$62.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $49.03 / $62.76	Professional		$45.70	$49.03	$62.76
United Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $49.03 / $59.74	Professional		$48.24	$49.03	$59.74