Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $48.15 / $48.15	Facility		$39.86	$48.15	$48.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $48.15 / $69.73	Professional		$39.86	$48.15	$69.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $97.38 / $103.42	Facility		$97.38	$97.38	$103.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $59.66 / $78.42	Professional		$59.66	$59.66	$78.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $83.99	Facility		$83.99	$83.99	$83.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $83.99	Professional		$61.31	$61.31	$83.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $87.64 / $116.86	Professional		$68.17	$87.64	$116.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $59.89 / $113.86	Facility		$31.36	$59.89	$113.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $121.73 / $162.21	Professional		$71.00	$121.73	$162.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $73.48 / $121.73	Facility		$56.18	$73.48	$121.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $73.48 / $121.73	Professional		$56.18	$73.48	$121.73
United Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $48.58 / $74.81	Professional		$43.91	$48.58	$74.81