Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $45.62 / $45.62	Facility		$37.76	$45.62	$45.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $45.62 / $55.67	Professional		$37.76	$45.62	$55.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $92.26 / $97.98	Facility		$92.26	$92.26	$97.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $55.44 / $71.33	Professional		$55.44	$55.44	$71.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $63.07	Professional		$49.00	$49.00	$63.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $62.72 / $62.72	Facility		$49.32	$62.72	$62.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $62.72	Professional		$45.79	$45.79	$62.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $83.03 / $110.71	Professional		$64.58	$83.03	$110.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $56.00 / $105.01	Facility		$29.71	$56.00	$105.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $115.33 / $153.66	Professional		$56.00	$115.33	$153.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $69.63 / $115.33	Facility		$53.22	$69.63	$115.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $69.63 / $115.33	Professional		$53.22	$69.63	$115.33
United Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $123.01 / $147.61	Facility		$123.01	$123.01	$147.61
United Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $46.03 / $70.90	Professional		$41.60	$46.03	$70.90