Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $48.08 / $48.08	Facility		$39.79	$48.08	$48.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $48.08 / $57.49	Professional		$31.75	$48.08	$57.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $97.24 / $103.27	Facility		$97.24	$97.24	$103.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $57.96 / $73.98	Professional		$57.96	$57.96	$73.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $66.47	Professional		$52.00	$52.00	$66.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $62.81 / $62.81	Facility		$51.98	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $87.52 / $116.69	Professional		$68.06	$87.52	$116.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $59.81 / $109.11	Facility		$30.83	$59.81	$109.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $121.55 / $161.96	Professional		$54.00	$121.55	$161.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $73.39 / $121.55	Facility		$53.28	$73.39	$121.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $73.39 / $121.55	Professional		$53.28	$73.39	$121.55
United Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $48.51 / $73.08	Professional		$43.36	$48.51	$73.08