Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $42.74 / $42.74	Facility		$35.38	$42.74	$42.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $42.74 / $65.81	Professional		$35.38	$42.74	$65.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $86.44 / $91.80	Facility		$86.44	$86.44	$91.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $51.98 / $66.31	Professional		$51.98	$51.98	$66.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $59.09	Professional		$46.00	$46.00	$59.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $54.02	Professional		$39.43	$39.43	$54.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $77.80 / $103.73	Professional		$60.51	$77.80	$103.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $53.17 / $98.40	Facility		$27.84	$53.17	$98.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $108.05 / $143.99	Professional		$49.00	$108.05	$143.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $65.23 / $108.05	Facility		$49.86	$65.23	$108.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $65.23 / $108.05	Professional		$49.86	$65.23	$108.05
United Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $115.26 / $138.31	Facility		$115.26	$115.26	$138.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $43.13 / $65.98	Professional		$38.97	$43.13	$65.98