Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $45.57 / $45.57	Facility		$37.72	$45.57	$45.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $45.57 / $53.47	Professional		$37.72	$45.57	$53.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.16 / $92.16 / $97.87	Facility		$92.16	$92.16	$97.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $53.11 / $67.44	Professional		$53.11	$53.11	$67.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $63.00	Professional		$49.00	$49.00	$63.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $60.55 / $60.55	Facility		$49.26	$60.55	$60.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $60.55	Professional		$44.20	$44.20	$60.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $82.94 / $110.59	Professional		$64.51	$82.94	$110.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $56.68 / $107.77	Facility		$28.52	$56.68	$107.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $115.20 / $153.51	Professional		$63.00	$115.20	$153.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $69.55 / $115.20	Facility		$53.17	$69.55	$115.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $69.55 / $115.20	Professional		$53.17	$69.55	$115.20
United Facility/Professional Facility Modifier Low / Median / High Price $118.06 / $118.06 / $141.66	Facility		$118.06	$118.06	$141.66
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $45.98 / $69.26	Professional		$40.11	$45.98	$69.26