Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $150.50 / $199.22	Facility		$66.64	$150.50	$199.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $69.97 / $69.97	Professional		$66.64	$69.97	$69.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $140.61 / $226.58	Facility		$66.64	$140.61	$226.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $97.73 / $147.47	Professional		$85.88	$97.73	$147.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $66.64	Facility		$62.87	$62.87	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $79.97 / $111.87	Professional		$56.64	$79.97	$111.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $79.02 / $107.93	Facility		$47.45	$79.02	$107.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Professional		$61.00	$61.00	$61.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $80.63 / $101.45	Facility		$63.31	$80.63	$101.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $80.63 / $101.45	Professional		$63.31	$80.63	$101.45
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $79.97	Professional		$66.64	$66.64	$79.97