Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $77.84 / $110.31	Facility		$47.53	$77.84	$110.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $49.90 / $77.84	Professional		$47.53	$49.90	$77.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $100.27 / $161.57	Facility		$47.52	$100.27	$161.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $47.53	Professional		$47.53	$47.53	$47.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $74.31 / $112.15	Professional		$65.31	$74.31	$112.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $44.83 / $47.52	Facility		$44.83	$44.83	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Professional		$47.52	$47.52	$47.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $57.04 / $115.10	Professional		$40.40	$57.04	$115.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $64.12 / $84.99	Facility		$27.08	$64.12	$84.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $57.51 / $103.73	Facility		$45.15	$57.51	$103.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $57.51 / $103.73	Professional		$45.15	$57.51	$103.73
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $57.04	Professional		$47.53	$47.53	$57.04