Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $90.92 / $120.35	Facility		$43.19	$90.92	$120.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $45.35 / $45.35	Professional		$43.19	$45.35	$45.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $91.13 / $146.85	Facility		$43.19	$91.13	$146.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $68.08 / $102.74	Professional		$59.83	$68.08	$102.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $43.19	Facility		$40.75	$40.75	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $51.83 / $52.02	Professional		$36.71	$51.83	$52.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $44.91 / $77.16	Facility		$43.19	$44.91	$77.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Professional		$49.00	$49.00	$49.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $49.42 / $49.42	Facility		$49.42	$49.42	$49.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $49.42 / $49.42	Professional		$49.42	$49.42	$49.42
United Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $43.19 / $54.20	Professional		$42.49	$43.19	$54.20