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 / $54.42	Professional		$39.94	$48.25	$54.42
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 $49.30 / $49.30 / $65.14	Professional		$49.30	$49.30	$65.14
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 $61.62 / $61.62 / $61.62	Facility		$61.62	$61.62	$61.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $61.62	Professional		$44.98	$44.98	$61.62
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 $26.21 / $60.01 / $109.46	Facility		$26.21	$60.01	$109.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $121.98 / $162.54	Professional		$61.00	$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 $36.86 / $48.68 / $73.31	Professional		$36.86	$48.68	$73.31