Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $67.27 / $67.27	Facility		$55.69	$67.27	$67.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $67.27 / $69.50	Professional		$55.69	$67.27	$69.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $136.07 / $144.51	Facility		$136.07	$136.07	$144.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $89.97	Professional		$70.61	$70.61	$89.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $93.02	Professional		$73.00	$73.00	$93.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $75.81	Professional		$55.35	$55.35	$75.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $122.46 / $163.28	Professional		$95.25	$122.46	$163.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $83.68 / $152.66	Facility		$37.34	$83.68	$152.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $170.09 / $226.64	Professional		$74.00	$170.09	$226.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $102.69 / $170.09	Facility		$78.48	$102.69	$170.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $102.69 / $170.09	Professional		$78.48	$102.69	$170.09
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $67.88 / $101.99	Professional		$52.52	$67.88	$101.99