Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $64.31 / $127.89	Facility		$50.37	$64.31	$127.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $52.88 / $55.95	Professional		$50.37	$52.88	$55.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $106.26 / $171.22	Facility		$50.36	$106.26	$171.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $93.39 / $140.93	Professional		$82.07	$93.39	$140.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $50.37	Facility		$47.51	$47.51	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $60.44 / $75.51	Professional		$42.81	$60.44	$75.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $65.20 / $78.06	Facility		$32.29	$65.20	$78.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $60.48 / $70.33	Facility		$47.85	$60.48	$70.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $60.48 / $70.33	Professional		$47.85	$60.48	$70.33
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $53.39 / $65.48	Professional		$50.37	$53.39	$65.48