Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $77.04 / $77.04	Facility		$77.04	$77.04	$77.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $77.04 / $105.74	Professional		$65.39	$77.04	$105.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $128.09 / $128.09	Facility		$128.09	$128.09	$128.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $104.63 / $104.63	Professional		$104.63	$104.63	$104.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $80.64 / $85.78	Professional		$80.64	$80.64	$85.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $112.48	Professional		$38.25	$45.00	$112.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $107.28 / $150.19	Professional		$94.66	$107.28	$150.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $76.61 / $152.65	Facility		$41.79	$76.61	$152.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $98.00 / $98.00	Professional		$98.00	$98.00	$98.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $14.80 / $119.47	Facility		$8.22	$14.80	$119.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $55.27 / $119.47	Professional		$8.22	$55.27	$119.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $72.04 / $108.11	Professional		$55.72	$72.04	$108.11