Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $67.04 / $67.04	Facility		$55.50	$67.04	$67.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $67.04 / $70.09	Professional		$54.46	$67.04	$70.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.61 / $135.61 / $144.02	Facility		$135.61	$135.61	$144.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $64.34 / $83.64	Professional		$64.34	$64.34	$83.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $92.70	Professional		$73.00	$73.00	$92.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $75.80	Professional		$55.33	$55.33	$75.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $122.05 / $162.72	Professional		$94.93	$122.05	$162.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $79.37 / $151.52	Facility		$34.70	$79.37	$151.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $169.51 / $225.87	Professional		$63.00	$169.51	$225.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.22 / $102.33 / $169.51	Facility		$78.22	$102.33	$169.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $102.33 / $169.51	Professional		$78.22	$102.33	$169.51
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $67.65 / $101.91	Professional		$48.81	$67.65	$101.91