Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.42 / $71.78 / $71.78	Facility		$59.42	$71.78	$71.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $71.78 / $88.67	Professional		$59.42	$71.78	$88.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $145.16 / $154.16	Facility		$145.16	$145.16	$154.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $85.01 / $110.60	Professional		$85.01	$85.01	$110.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $99.24	Professional		$78.00	$78.00	$99.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $100.43	Professional		$73.31	$73.31	$100.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $130.65 / $174.20	Professional		$101.62	$130.65	$174.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $89.29 / $165.26	Facility		$46.76	$89.29	$165.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $181.46 / $241.82	Professional		$82.00	$181.46	$241.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.74 / $109.56 / $181.46	Facility		$83.74	$109.56	$181.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $109.56 / $181.46	Professional		$83.74	$109.56	$181.46
United Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $72.43 / $109.10	Professional		$65.45	$72.43	$109.10