Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $100.00 / $131.83	Facility		$46.77	$100.00	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $58.88	Professional		$46.77	$47.86	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $89.13 / $162.18	Facility		$47.86	$89.13	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $79.43	Professional		$47.86	$47.86	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $74.13	Professional		$47.86	$47.86	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $47.86 / $47.86	Facility		$44.67	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $54.95	Professional		$40.74	$47.86	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $52.48 / $81.28	Facility		$47.86	$52.48	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $52.48	Professional		$47.86	$47.86	$52.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $47.86 / $70.79	Facility		$45.71	$47.86	$70.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $70.79	Professional		$45.71	$47.86	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $79.43	Facility		$47.86	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $48.98	Professional		$47.86	$47.86	$48.98