Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $70.62 / $70.62	Facility		$58.46	$70.62	$70.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $70.62 / $78.62	Professional		$58.46	$70.62	$78.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.83 / $142.83 / $151.69	Facility		$142.83	$142.83	$151.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $79.13 / $101.73	Professional		$79.13	$79.13	$101.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $79.73 / $79.73	Professional		$79.73	$79.73	$79.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $81.70 / $81.70	Facility		$76.34	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $81.70	Professional		$59.64	$59.64	$81.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $128.55 / $171.40	Professional		$99.98	$128.55	$171.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $87.83 / $160.24	Facility		$42.11	$87.83	$160.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $178.54 / $237.91	Professional		$123.26	$178.54	$237.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.39 / $110.67 / $178.54	Facility		$82.39	$110.67	$178.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $110.67 / $178.54	Professional		$82.39	$110.67	$178.54
United Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $71.26 / $107.33	Professional		$59.22	$71.26	$107.33