Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $75.95 / $75.95	Facility		$62.88	$75.95	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $75.95 / $92.90	Professional		$62.88	$75.95	$92.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $153.63 / $163.16	Facility		$153.63	$153.63	$163.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $84.87 / $109.41	Professional		$84.87	$84.87	$109.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $85.77 / $105.02	Professional		$85.77	$85.77	$105.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.13 / $88.85 / $88.85	Facility		$82.13	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $138.27 / $184.36	Professional		$107.54	$138.27	$184.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $89.92 / $171.67	Facility		$45.29	$89.92	$171.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $192.04 / $255.90	Professional		$89.00	$192.04	$255.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.62 / $116.47 / $192.04	Facility		$88.62	$116.47	$192.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $116.47 / $192.04	Professional		$88.62	$116.47	$192.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $76.64 / $115.16	Professional		$63.71	$76.64	$115.16