Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.27 / $55.90 / $55.90	Facility		$46.27	$55.90	$55.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $55.90 / $64.93	Professional		$46.27	$55.90	$64.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.06 / $113.06 / $120.07	Facility		$113.06	$113.06	$120.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $56.34 / $74.40	Professional		$56.34	$56.34	$74.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $77.29	Professional		$61.00	$61.00	$77.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Facility		$71.68	$71.68	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $71.68	Professional		$52.33	$52.33	$71.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $101.75 / $135.66	Professional		$79.14	$101.75	$135.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $69.53 / $126.82	Facility		$30.21	$69.53	$126.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $141.33 / $188.32	Professional		$56.00	$141.33	$188.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.22 / $85.33 / $141.33	Facility		$65.22	$85.33	$141.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $85.33 / $141.33	Professional		$65.22	$85.33	$141.33
United Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $125.07 / $150.08	Facility		$125.07	$125.07	$150.08
United Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $56.41 / $92.10	Professional		$43.27	$56.41	$92.10