Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $46.56 / $46.56	Facility		$38.54	$46.56	$46.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $46.56 / $56.56	Professional		$38.54	$46.56	$56.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $94.16 / $100.00	Facility		$94.16	$94.16	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $57.19 / $72.59	Professional		$57.19	$57.19	$72.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $64.37	Professional		$50.00	$50.00	$64.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Facility		$58.84	$58.84	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $58.84	Professional		$42.95	$42.95	$58.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $84.74 / $112.99	Professional		$65.91	$84.74	$112.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $57.91 / $105.66	Facility		$30.33	$57.91	$105.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $117.70 / $156.84	Professional		$53.00	$117.70	$156.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $71.06 / $117.70	Facility		$54.32	$71.06	$117.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $71.06 / $117.70	Professional		$54.32	$71.06	$117.70
United Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $46.98 / $70.77	Professional		$42.46	$46.98	$70.77