Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $45.73 / $90.93	Facility		$39.86	$45.73	$90.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $41.86 / $41.86	Professional		$39.86	$41.86	$41.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $84.13 / $135.56	Facility		$39.86	$84.13	$135.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $60.13 / $90.74	Professional		$52.84	$60.13	$90.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $37.61 / $39.86	Facility		$37.61	$37.61	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $46.07 / $47.84	Professional		$33.89	$46.07	$47.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $40.31 / $57.76	Facility		$24.65	$40.31	$57.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $39.15 / $51.03	Facility		$37.15	$39.15	$51.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $39.15 / $51.03	Professional		$37.15	$39.15	$51.03
United Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $39.86 / $46.07	Professional		$39.22	$39.86	$46.07