Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.44 / $109.00 / $126.49	Facility		$57.44	$109.00	$126.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $57.44 / $57.44	Professional		$54.71	$57.44	$57.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $115.44 / $186.01	Facility		$54.71	$115.44	$186.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $86.36 / $130.33	Professional		$75.89	$86.36	$130.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $51.61 / $54.71	Facility		$51.61	$51.61	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $65.65 / $69.20	Professional		$46.50	$65.65	$69.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $61.88 / $114.74	Facility		$54.71	$61.88	$114.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Professional		$72.00	$72.00	$72.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $55.08 / $70.03	Facility		$51.97	$55.08	$70.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $55.08 / $70.03	Professional		$51.97	$55.08	$70.03
United Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $54.71 / $68.66	Professional		$53.83	$54.71	$68.66