Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $57.84 / $115.03	Facility		$52.49	$57.84	$115.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $61.04	Professional		$52.49	$52.49	$61.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $108.65 / $171.64	Facility		$52.49	$108.65	$171.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $71.34	Professional		$52.49	$52.49	$71.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $50.45 / $52.49	Professional		$50.45	$50.45	$52.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $49.52 / $52.49	Facility		$49.52	$49.52	$52.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Professional		$52.49	$52.49	$52.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $52.49 / $64.17	Professional		$44.62	$52.49	$64.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $55.11 / $85.35	Facility		$43.76	$55.11	$85.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $75.00 / $112.92	Professional		$51.26	$75.00	$112.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $60.96 / $78.73	Facility		$52.49	$60.96	$78.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $60.96 / $78.73	Professional		$52.49	$60.96	$78.73
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $55.64 / $60.18	Professional		$52.49	$55.64	$60.18