Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.95 / $59.95 / $59.95	Facility		$59.95	$59.95	$59.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $59.95 / $81.44	Professional		$40.19	$59.95	$81.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $99.67 / $99.67	Facility		$99.67	$99.67	$99.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $80.98 / $80.98	Professional		$80.98	$80.98	$80.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $68.92 / $79.50	Professional		$68.92	$68.92	$79.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $84.44	Facility		$66.38	$66.38	$84.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $87.12	Professional		$56.42	$66.38	$87.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $84.81 / $118.74	Professional		$74.84	$84.81	$118.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $59.95 / $122.85	Facility		$39.02	$59.95	$122.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $92.00	Professional		$92.00	$92.00	$92.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $55.95 / $107.11	Facility		$7.12	$55.95	$107.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $43.43 / $105.08	Professional		$6.79	$43.43	$105.08
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $57.62 / $91.07	Professional		$49.28	$57.62	$91.07