Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.54 / $68.54 / $68.54	Facility		$68.54	$68.54	$68.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $68.54 / $90.51	Professional		$37.47	$68.54	$90.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $113.95 / $113.95	Facility		$113.95	$113.95	$113.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $90.29 / $90.29	Professional		$90.29	$90.29	$90.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $68.39 / $71.97	Professional		$68.39	$68.39	$71.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $97.09	Facility		$73.97	$73.97	$97.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $97.09	Professional		$62.87	$73.97	$97.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $90.01 / $126.01	Professional		$79.42	$90.01	$126.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $64.98 / $132.88	Facility		$36.38	$64.98	$132.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $12.88 / $104.00	Facility		$7.31	$12.88	$104.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $13.42 / $104.00	Professional		$7.31	$13.42	$104.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $62.44 / $86.83	Professional		$48.50	$62.44	$86.83