Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $65.59 / $65.59	Facility		$54.30	$65.59	$65.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $65.59 / $92.50	Professional		$54.30	$65.59	$92.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $132.68 / $140.91	Facility		$132.68	$132.68	$140.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $79.14 / $104.62	Professional		$79.14	$79.14	$104.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $90.70	Professional		$71.00	$71.00	$90.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $106.22	Professional		$77.54	$77.54	$106.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $119.41 / $159.22	Professional		$92.88	$119.41	$159.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $81.59 / $151.03	Facility		$42.73	$81.59	$151.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $165.85 / $220.99	Professional		$75.00	$165.85	$220.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $100.13 / $165.85	Facility		$76.53	$100.13	$165.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $100.13 / $165.85	Professional		$76.53	$100.13	$165.85
United Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $65.59 / $75.06	Facility		$44.87	$65.59	$75.06
United Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $66.19 / $105.50	Professional		$59.82	$66.19	$105.50