Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $45.32 / $73.83	Facility		$45.32	$45.32	$73.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $45.32 / $53.63	Professional		$27.84	$45.32	$53.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $91.65 / $97.33	Facility		$91.65	$91.65	$97.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $65.28	Professional		$50.86	$50.86	$65.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $51.17 / $62.65	Professional		$51.17	$51.17	$62.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $58.60	Professional		$42.78	$42.78	$58.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $82.49 / $109.98	Professional		$64.16	$82.49	$109.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $56.37 / $102.85	Facility		$27.03	$56.37	$102.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $110.00 / $152.65	Professional		$66.26	$110.00	$152.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $69.17 / $114.56	Facility		$52.87	$69.17	$114.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $69.17 / $114.56	Professional		$52.87	$69.17	$114.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $45.73 / $68.70	Professional		$38.01	$45.73	$68.70