Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $51.95 / $51.95	Facility		$43.00	$51.95	$51.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $51.95 / $58.69	Professional		$43.00	$51.95	$58.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $105.05 / $111.56	Facility		$105.05	$105.05	$111.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $59.92 / $76.66	Professional		$59.92	$59.92	$76.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $71.81	Professional		$56.00	$56.00	$71.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $61.48	Professional		$44.88	$44.88	$61.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $94.55 / $126.06	Professional		$73.54	$94.55	$126.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $64.62 / $119.59	Facility		$31.69	$64.62	$119.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $131.31 / $174.98	Professional		$66.00	$131.31	$174.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.61 / $79.29 / $131.31	Facility		$60.61	$79.29	$131.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $79.29 / $131.31	Professional		$60.61	$79.29	$131.31
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $52.42 / $78.95	Professional		$44.57	$52.42	$78.95