Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $57.87 / $57.87	Facility		$47.90	$57.87	$57.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $57.87 / $66.84	Professional		$47.90	$57.87	$66.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $117.04 / $124.30	Facility		$117.04	$117.04	$124.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $63.03 / $81.92	Professional		$63.03	$63.03	$81.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $71.20	Professional		$71.20	$71.20	$71.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $55.27	Professional		$55.27	$55.27	$55.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $105.34 / $140.44	Professional		$81.93	$105.34	$140.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $67.70 / $131.31	Facility		$33.92	$67.70	$131.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $146.30 / $194.95	Professional		$85.64	$146.30	$194.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.12 / $90.69 / $149.52	Facility		$64.12	$90.69	$149.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $90.69 / $149.52	Professional		$64.12	$90.69	$149.52
United Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $58.39 / $87.95	Professional		$52.55	$58.39	$87.95