Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $75.68 / $75.68	Facility		$62.65	$75.68	$75.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $75.68 / $79.70	Professional		$62.65	$75.68	$79.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.07 / $153.07 / $162.56	Facility		$153.07	$153.07	$162.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $107.76	Professional		$81.72	$81.72	$107.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $104.64	Professional		$82.00	$82.00	$104.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $90.28	Professional		$65.90	$65.90	$90.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $137.76 / $183.68	Professional		$107.15	$137.76	$183.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $94.14 / $174.24	Facility		$44.95	$94.14	$174.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $191.34 / $254.96	Professional		$105.00	$191.34	$254.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $115.52 / $191.34	Facility		$88.30	$115.52	$191.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $115.52 / $191.34	Professional		$88.30	$115.52	$191.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $76.37 / $114.74	Professional		$63.22	$76.37	$114.74