Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $66.98 / $72.01	Facility		$66.98	$66.98	$72.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $66.98 / $89.50	Professional		$55.45	$66.98	$89.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.49 / $135.49 / $143.88	Facility		$135.49	$135.49	$143.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $82.18 / $104.48	Professional		$82.18	$82.18	$104.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $92.62	Professional		$73.00	$73.00	$92.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $90.53	Professional		$63.42	$63.42	$90.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $121.94 / $162.59	Professional		$94.84	$121.94	$162.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $83.33 / $155.81	Facility		$43.64	$83.33	$155.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $169.36 / $225.68	Professional		$87.00	$169.36	$225.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.16 / $101.82 / $165.66	Facility		$78.16	$101.82	$165.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $101.82 / $165.66	Professional		$78.16	$101.82	$165.66
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $67.59 / $101.82	Professional		$61.09	$67.59	$101.82