Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $70.93 / $70.93	Facility		$70.93	$70.93	$70.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $70.93 / $96.59	Professional		$59.51	$70.93	$96.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.92 / $117.92 / $117.92	Facility		$117.92	$117.92	$117.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $95.43 / $95.43	Professional		$95.43	$95.43	$95.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $73.16 / $99.30	Professional		$73.16	$73.16	$99.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Facility		$78.15	$78.15	$78.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $102.57	Professional		$66.43	$78.15	$102.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $97.22 / $136.11	Professional		$85.79	$97.22	$136.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $69.51 / $138.91	Facility		$38.03	$69.51	$138.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Professional		$89.00	$89.00	$89.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $13.45 / $108.73	Facility		$7.57	$13.45	$108.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $13.93 / $108.73	Professional		$7.57	$13.93	$108.73
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $65.63 / $84.52	Professional		$50.71	$65.63	$84.52