Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.29 / $66.79 / $66.79	Facility		$55.29	$66.79	$66.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $66.79 / $73.12	Professional		$40.38	$66.79	$73.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.08 / $135.08 / $143.44	Facility		$135.08	$135.08	$143.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $74.05 / $95.45	Professional		$74.05	$74.05	$95.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $92.34	Professional		$72.00	$72.00	$92.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $100.50	Facility		$77.09	$77.09	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $90.27	Professional		$56.28	$56.28	$90.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $121.57 / $162.10	Professional		$94.56	$121.57	$162.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $83.08 / $151.58	Facility		$39.21	$83.08	$151.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $168.85 / $225.00	Professional		$79.00	$168.85	$225.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $101.95 / $168.85	Facility		$77.92	$101.95	$168.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $101.95 / $168.85	Professional		$77.92	$101.95	$168.85
United Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $67.39 / $101.52	Professional		$55.15	$67.39	$101.52