Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $48.29 / $48.29	Facility		$48.29	$48.29	$48.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $48.29 / $64.68	Professional		$40.44	$48.29	$64.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Professional		$64.80	$64.80	$64.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $53.80	Professional		$49.98	$49.98	$53.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $69.59	Professional		$39.78	$46.80	$69.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $67.28 / $94.19	Professional		$59.36	$67.28	$94.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $47.48 / $91.88	Facility		$25.16	$47.48	$91.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $8.90 / $71.92	Facility		$5.15	$8.90	$71.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $9.41 / $71.92	Professional		$5.15	$9.41	$71.92
United Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $44.03 / $65.76	Professional		$38.49	$44.03	$65.76