Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $108.10 / $148.00	Facility		$69.30	$108.10	$148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.65 / $81.58	Professional		$66.00	$66.65	$81.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $136.62 / $215.82	Facility		$66.00	$136.62	$215.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $88.46	Professional		$66.00	$66.00	$88.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $65.25 / $66.00	Professional		$65.25	$65.25	$66.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $66.00	Facility		$62.26	$62.26	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $66.00 / $83.15	Professional		$56.10	$66.00	$83.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $69.30 / $106.03	Facility		$39.51	$69.30	$106.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $82.88 / $148.85	Professional		$59.00	$82.88	$148.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $78.97 / $99.00	Facility		$66.00	$78.97	$99.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $78.97 / $99.00	Professional		$66.00	$78.97	$99.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $69.95 / $74.61	Professional		$66.00	$69.95	$74.61