Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $67.20 / $132.93	Facility		$61.54	$67.20	$132.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $61.54 / $61.54	Professional		$57.92	$61.54	$61.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $132.40 / $209.15	Facility		$63.96	$132.40	$209.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $57.92 / $80.42	Professional		$57.92	$57.92	$80.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $63.96	Professional		$63.96	$63.96	$63.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $85.00	Facility		$61.54	$61.54	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $239.05 / $292.06	Professional		$167.34	$239.05	$292.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $62.51 / $104.00	Facility		$45.42	$62.51	$104.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $90.00 / $286.00	Professional		$59.38	$90.00	$286.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $69.39 / $90.51	Facility		$60.34	$69.39	$90.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $69.39 / $90.51	Professional		$60.34	$69.39	$90.51
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.96 / $67.87	Professional		$60.34	$63.96	$67.87