Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $55.36 / $55.36	Facility		$45.83	$55.36	$55.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $55.36 / $73.95	Professional		$45.83	$55.36	$73.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $111.97 / $118.91	Facility		$111.97	$111.97	$118.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $60.47 / $80.51	Professional		$60.47	$60.47	$80.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $76.55	Professional		$60.00	$60.00	$76.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $64.52	Professional		$47.10	$47.10	$64.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $100.77 / $134.36	Professional		$78.38	$100.77	$134.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $68.87 / $125.63	Facility		$33.26	$68.87	$125.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $139.96 / $186.52	Professional		$58.00	$139.96	$186.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $84.51 / $139.96	Facility		$64.59	$84.51	$139.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $84.51 / $139.96	Professional		$64.59	$84.51	$139.96
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $55.86 / $84.15	Professional		$46.77	$55.86	$84.15