Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $61.61 / $61.61	Facility		$51.25	$61.61	$61.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $61.61 / $65.72	Professional		$50.36	$61.61	$65.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.71 / $99.71 / $105.89	Facility		$99.71	$99.71	$105.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $51.40 / $68.43	Professional		$51.40	$51.40	$68.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $68.16	Professional		$61.11	$61.11	$68.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $79.86	Professional		$43.91	$43.91	$79.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $89.74 / $119.65	Professional		$69.80	$89.74	$119.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $65.72 / $111.39	Facility		$30.94	$65.72	$111.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $130.96 / $166.08	Professional		$77.20	$130.96	$166.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $77.26 / $137.06	Facility		$57.51	$77.26	$137.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $77.26 / $137.06	Professional		$57.51	$77.26	$137.06
United Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $49.73 / $74.92	Professional		$44.95	$49.73	$74.92