Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $49.26 / $49.26	Facility		$40.78	$49.26	$49.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $49.26 / $64.04	Professional		$40.78	$49.26	$64.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.64 / $99.64 / $105.82	Facility		$99.64	$99.64	$105.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $51.74 / $68.55	Professional		$51.74	$51.74	$68.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $68.11	Professional		$53.00	$53.00	$68.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $71.02 / $71.02	Facility		$53.26	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $71.02	Professional		$51.84	$51.84	$71.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $89.68 / $119.57	Professional		$69.75	$89.68	$119.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $61.28 / $111.78	Facility		$27.45	$61.28	$111.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $124.55 / $165.95	Professional		$63.00	$124.55	$165.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $75.19 / $124.55	Facility		$57.47	$75.19	$124.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $75.19 / $124.55	Professional		$57.47	$75.19	$124.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $49.70 / $74.87	Professional		$39.31	$49.70	$74.87