Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.72 / $62.47 / $62.47	Facility		$51.72	$62.47	$62.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $62.47 / $70.43	Professional		$51.72	$62.47	$70.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.36 / $126.36 / $134.19	Facility		$126.36	$126.36	$134.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $74.53 / $95.77	Professional		$74.53	$74.53	$95.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $86.38	Professional		$68.00	$68.00	$86.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $79.77 / $79.77	Facility		$67.53	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $79.77	Professional		$58.23	$58.23	$79.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $113.72 / $151.63	Professional		$88.45	$113.72	$151.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $77.70 / $141.74	Facility		$39.72	$77.70	$141.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $157.94 / $210.47	Professional		$69.00	$157.94	$210.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $95.35 / $157.94	Facility		$72.88	$95.35	$157.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $95.35 / $157.94	Professional		$72.88	$95.35	$157.94
United Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $63.04 / $94.81	Professional		$55.86	$63.04	$94.81