Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $66.81 / $66.81	Facility		$55.31	$66.81	$66.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $66.81 / $85.79	Professional		$55.31	$66.81	$85.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $135.13 / $143.51	Facility		$135.13	$135.13	$143.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $79.04 / $105.24	Professional		$79.04	$79.04	$105.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $92.37	Professional		$72.00	$72.00	$92.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $103.32	Professional		$75.42	$75.42	$103.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.59 / $121.62 / $162.16	Professional		$94.59	$121.62	$162.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $83.12 / $151.63	Facility		$42.49	$83.12	$151.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $168.91 / $225.09	Professional		$74.00	$168.91	$225.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $102.00 / $168.91	Facility		$74.05	$102.00	$168.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $102.00 / $168.91	Professional		$74.05	$102.00	$168.91
United Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $67.42 / $101.56	Professional		$59.76	$67.42	$101.56