Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $54.86 / $104.31	Facility		$54.86	$54.86	$104.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $54.86 / $69.45	Professional		$35.02	$54.86	$69.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $83.45 / $88.62	Facility		$83.45	$83.45	$88.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $88.80	Professional		$71.04	$71.04	$88.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $73.81 / $73.81	Professional		$73.39	$73.81	$73.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $87.14	Professional		$62.03	$62.03	$87.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $68.04 / $106.92	Professional		$52.91	$68.04	$106.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $61.88 / $114.79	Facility		$49.72	$61.88	$114.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $117.00 / $152.55	Professional		$88.40	$117.00	$152.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $86.84 / $115.21	Facility		$60.70	$86.84	$115.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $86.84 / $115.21	Professional		$60.70	$86.84	$115.21
United Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $55.35 / $86.84	Professional		$51.56	$55.35	$86.84