Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $54.86 / $118.46	Facility		$54.86	$54.86	$118.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $54.86 / $73.30	Professional		$45.41	$54.86	$73.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.95 / $110.95 / $117.83	Facility		$110.95	$110.95	$117.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $87.11	Professional		$67.73	$67.73	$87.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $88.85	Facility		$84.33	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $99.86 / $133.13	Professional		$77.67	$99.86	$133.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $68.23 / $126.30	Facility		$35.72	$68.23	$126.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $138.69 / $184.80	Professional		$82.00	$138.69	$184.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $83.73 / $138.69	Facility		$64.00	$83.73	$138.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $83.73 / $138.69	Professional		$64.00	$83.73	$138.69
United Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $55.35 / $83.38	Professional		$50.03	$55.35	$83.38