Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $65.91 / $65.91	Facility		$54.55	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $65.91 / $68.86	Professional		$53.59	$65.91	$68.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.29 / $133.29 / $141.55	Facility		$133.29	$133.29	$141.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $62.90 / $79.90	Professional		$62.90	$62.90	$79.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $91.12	Professional		$71.00	$71.00	$91.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $75.47	Professional		$55.09	$55.09	$75.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $119.96 / $159.94	Professional		$93.30	$119.96	$159.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $76.43 / $148.94	Facility		$33.26	$76.43	$148.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $166.61 / $222.02	Professional		$58.00	$166.61	$222.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.90 / $100.60 / $166.61	Facility		$76.90	$100.60	$166.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $100.60 / $166.61	Professional		$76.90	$100.60	$166.61
United Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $66.50 / $99.92	Professional		$47.63	$66.50	$99.92