Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $52.90 / $52.90	Facility		$43.79	$52.90	$52.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $52.90 / $61.62	Professional		$43.73	$52.90	$61.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $113.63	Facility		$107.00	$107.00	$113.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $57.29 / $72.28	Professional		$57.29	$57.29	$72.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $73.14	Professional		$57.00	$57.00	$73.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $81.37	Facility		$81.37	$81.37	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $81.37	Professional		$59.40	$59.40	$81.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $96.30 / $128.40	Professional		$74.90	$96.30	$128.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $65.80 / $121.80	Facility		$30.34	$65.80	$121.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $133.75 / $178.22	Professional		$53.00	$133.75	$178.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $80.75 / $133.75	Facility		$61.72	$80.75	$133.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $80.75 / $133.75	Professional		$61.72	$80.75	$133.75
United Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $53.38 / $80.40	Professional		$42.68	$53.38	$80.40