Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $120.23	Facility		$42.66	$91.20	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $46.77	Professional		$42.66	$42.66	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $87.10 / $147.91	Facility		$42.66	$87.10	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $72.44	Professional		$42.66	$42.66	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $97.72	Professional		$56.23	$64.57	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $42.66 / $42.66	Facility		$40.74	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $56.23	Professional		$36.31	$42.66	$56.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $69.18	Facility		$42.66	$42.66	$69.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $45.71 / $63.10	Facility		$40.74	$45.71	$63.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $63.10	Professional		$40.74	$45.71	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $70.79	Facility		$42.66	$42.66	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $53.70	Professional		$41.69	$42.66	$53.70