Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $48.79 / $169.22	Facility		$48.79	$48.79	$169.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $48.79 / $54.24	Professional		$27.53	$48.79	$54.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $63.45 / $67.38	Facility		$63.45	$63.45	$67.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $54.36 / $67.95	Professional		$54.36	$54.36	$67.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $57.67	Professional		$42.10	$42.10	$57.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $55.67 / $89.17	Professional		$38.97	$55.67	$89.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $55.13 / $101.64	Facility		$29.09	$55.13	$101.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $92.00 / $121.94	Professional		$71.28	$92.00	$121.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $70.43 / $101.22	Facility		$49.44	$70.43	$101.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $70.43 / $101.22	Professional		$49.44	$70.43	$101.22
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $49.22 / $73.95	Professional		$40.90	$49.22	$73.95