Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $48.37 / $48.37	Facility		$40.04	$48.37	$48.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $48.37 / $68.06	Professional		$40.04	$48.37	$68.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $97.83 / $103.90	Facility		$97.83	$97.83	$103.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $58.96 / $73.70	Professional		$58.96	$58.96	$73.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $66.88	Professional		$52.00	$52.00	$66.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.30 / $72.18 / $72.18	Facility		$52.30	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $52.69 / $72.18	Professional		$52.69	$52.69	$72.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $88.05 / $117.40	Professional		$68.48	$88.05	$117.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $60.17 / $111.37	Facility		$31.51	$60.17	$111.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $122.29 / $162.96	Professional		$55.00	$122.29	$162.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $74.05 / $122.29	Facility		$56.43	$74.05	$122.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $74.05 / $122.29	Professional		$56.43	$74.05	$122.29
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $48.81 / $73.52	Professional		$44.11	$48.81	$73.52