Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $51.37 / $51.37	Facility		$31.09	$51.37	$51.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $51.37 / $62.39	Professional		$31.09	$51.37	$62.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $74.48 / $79.11	Facility		$74.48	$74.48	$79.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $79.08	Professional		$63.26	$63.26	$79.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $57.99 / $57.99	Professional		$57.99	$57.99	$57.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $77.70	Facility		$67.20	$67.20	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $71.64	Professional		$49.06	$49.06	$71.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $62.43 / $98.11	Professional		$45.75	$62.43	$98.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $58.05 / $108.01	Facility		$33.46	$58.05	$108.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $105.00 / $138.18	Professional		$75.78	$105.00	$138.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $74.95 / $110.15	Facility		$53.12	$74.95	$110.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $74.95 / $110.15	Professional		$53.12	$74.95	$110.15
United Facility/Professional Facility Modifier Low / Median / High Price $124.56 / $124.56 / $149.47	Facility		$124.56	$124.56	$149.47
United Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $51.83 / $78.06	Professional		$44.05	$51.83	$78.06