Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $59.67 / $118.65	Facility		$52.47	$59.67	$118.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $57.72	Professional		$52.47	$52.47	$57.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $108.61 / $171.58	Facility		$52.47	$108.61	$171.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $70.33	Professional		$52.47	$52.47	$70.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $52.47	Professional		$52.04	$52.04	$52.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $52.47	Facility		$49.50	$49.50	$52.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Professional		$52.47	$52.47	$52.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $52.47 / $62.96	Professional		$44.60	$52.47	$62.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $55.09 / $83.95	Facility		$32.50	$55.09	$83.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $68.00 / $117.31	Professional		$48.88	$68.00	$117.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $57.12 / $78.70	Facility		$51.62	$57.12	$78.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $57.12 / $78.70	Professional		$51.62	$57.12	$78.70
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.62 / $60.24	Professional		$52.47	$55.62	$60.24