Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $95.50	Facility		$30.90	$51.29	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $79.43	Professional		$30.90	$51.29	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Facility		$75.86	$75.86	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $131.83	Professional		$63.10	$63.10	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $67.61	Facility		$43.65	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $117.49	Professional		$50.12	$67.61	$117.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $104.71	Professional		$56.23	$69.18	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $67.61 / $120.23	Facility		$33.88	$67.61	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $95.50	Professional		$57.54	$67.61	$95.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $309.03	Facility		$53.70	$79.43	$309.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $309.03	Professional		$53.70	$79.43	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $51.29 / $147.91	Facility		$35.48	$51.29	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $83.18	Professional		$46.77	$51.29	$83.18