Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $65.47 / $65.47	Facility		$54.19	$65.47	$65.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $65.47 / $72.59	Professional		$53.28	$65.47	$72.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $132.41 / $140.62	Facility		$132.41	$132.41	$140.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $62.47 / $80.80	Professional		$62.47	$62.47	$80.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $90.52	Professional		$71.00	$71.00	$90.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $87.42	Professional		$63.82	$63.82	$87.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $119.17 / $158.88	Professional		$92.69	$119.17	$158.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $76.59 / $147.94	Facility		$32.65	$76.59	$147.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $165.51 / $220.55	Professional		$65.00	$165.51	$220.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $99.93 / $165.51	Facility		$76.38	$99.93	$165.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $99.93 / $165.51	Professional		$76.38	$99.93	$165.51
United Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $66.05 / $99.25	Professional		$45.92	$66.05	$99.25