Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $68.56 / $68.56	Facility		$56.76	$68.56	$68.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $68.56 / $85.82	Professional		$56.76	$68.56	$85.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $138.69 / $147.30	Facility		$138.69	$138.69	$147.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $108.13	Professional		$81.20	$81.20	$108.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $94.82	Professional		$74.00	$74.00	$94.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $86.66	Professional		$63.26	$63.26	$86.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $124.83 / $166.44	Professional		$97.09	$124.83	$166.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.30 / $157.88	Facility		$44.67	$85.30	$157.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $173.38 / $231.02	Professional		$78.00	$173.38	$231.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $104.67 / $173.38	Facility		$80.00	$104.67	$173.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $104.67 / $173.38	Professional		$80.00	$104.67	$173.38
United Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $69.19 / $104.23	Professional		$62.54	$69.19	$104.23