Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.78 / $67.78 / $67.78	Facility		$67.78	$67.78	$67.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $67.78 / $93.09	Professional		$57.11	$67.78	$93.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.68 / $112.68 / $112.68	Facility		$112.68	$112.68	$112.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $90.95 / $90.95	Professional		$90.95	$90.95	$90.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $71.78 / $81.20	Professional		$71.78	$71.78	$81.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $92.75	Facility		$74.67	$74.67	$92.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $98.00	Professional		$63.47	$74.67	$98.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $94.42 / $132.19	Professional		$83.31	$94.42	$132.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $67.78 / $139.63	Facility		$38.22	$67.78	$139.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $13.68 / $109.28	Facility		$7.68	$13.68	$109.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $49.18 / $109.28	Professional		$7.68	$49.18	$109.28
United Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $62.95 / $97.88	Professional		$50.96	$62.95	$97.88