Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $60.48 / $120.25	Facility		$46.32	$60.48	$120.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.78 / $63.82	Professional		$46.32	$46.78	$63.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $95.88 / $151.47	Facility		$46.32	$95.88	$151.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $62.19	Professional		$46.32	$46.32	$62.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $52.75 / $52.75	Professional		$46.32	$52.75	$52.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $46.32	Facility		$43.70	$43.70	$46.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $46.32 / $102.41	Professional		$39.36	$46.32	$102.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $50.95 / $89.01	Facility		$46.32	$50.95	$89.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $122.34 / $149.57	Professional		$76.00	$122.34	$149.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $55.58 / $106.86	Facility		$46.32	$55.58	$106.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $55.58 / $106.86	Professional		$46.32	$55.58	$106.86
United Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $34.76 / $34.76	Facility		$34.76	$34.76	$34.76
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.10 / $55.12	Professional		$46.32	$49.10	$55.12