Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $58.01 / $58.01	Facility		$48.02	$58.01	$58.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $56.20 / $58.01	Professional		$45.45	$56.20	$58.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $117.32 / $124.59	Facility		$117.32	$117.32	$124.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $69.20	Professional		$53.40	$53.40	$69.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $80.20	Professional		$63.00	$63.00	$80.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $65.90 / $65.90	Facility		$62.71	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $48.11 / $65.90	Professional		$48.11	$48.11	$65.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $105.59 / $140.78	Professional		$82.12	$105.59	$140.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $65.55 / $130.52	Facility		$28.34	$65.55	$130.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $146.65 / $195.42	Professional		$49.00	$146.65	$195.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $88.54 / $146.65	Facility		$67.68	$88.54	$146.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $88.54 / $146.65	Professional		$67.68	$88.54	$146.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $58.53 / $87.94	Professional		$39.86	$58.53	$87.94