Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $74.90 / $74.90	Facility		$62.00	$74.90	$74.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $74.90 / $76.01	Professional		$62.00	$74.90	$76.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.49 / $151.49 / $160.88	Facility		$151.49	$151.49	$160.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $100.10	Professional		$78.30	$78.30	$100.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Professional		$81.00	$81.00	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $80.45	Professional		$58.73	$58.73	$80.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $136.34 / $181.79	Professional		$106.04	$136.34	$181.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $88.66 / $169.97	Facility		$41.47	$88.66	$169.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $189.36 / $252.33	Professional		$72.00	$189.36	$252.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $114.32 / $189.36	Facility		$87.39	$114.32	$189.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $114.32 / $189.36	Professional		$87.39	$114.32	$189.36
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $75.58 / $113.84	Professional		$58.32	$75.58	$113.84