Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $48.25 / $48.25	Facility		$39.94	$48.25	$48.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $48.25 / $62.58	Professional		$39.94	$48.25	$62.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $97.58 / $103.63	Facility		$97.58	$97.58	$103.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $52.62 / $69.29	Professional		$52.62	$52.62	$69.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $66.70	Professional		$52.00	$52.00	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.15 / $62.81 / $62.81	Facility		$52.15	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $87.82 / $117.10	Professional		$68.31	$87.82	$117.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $60.01 / $111.09	Facility		$28.17	$60.01	$111.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $121.98 / $162.54	Professional		$62.00	$121.98	$162.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.29 / $73.64 / $121.98	Facility		$56.29	$73.64	$121.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $73.64 / $121.98	Professional		$56.29	$73.64	$121.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $48.68 / $73.31	Professional		$39.61	$48.68	$73.31