Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $52.33 / $52.33	Facility		$43.32	$52.33	$52.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $52.33 / $63.57	Professional		$43.32	$52.33	$63.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $105.84 / $112.40	Facility		$105.84	$105.84	$112.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $64.12 / $83.00	Professional		$64.12	$64.12	$83.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $72.34	Professional		$57.00	$57.00	$72.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $68.45 / $68.45	Facility		$56.58	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $68.45	Professional		$49.98	$49.98	$68.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $95.26 / $127.01	Professional		$74.09	$95.26	$127.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $65.09 / $120.48	Facility		$34.09	$65.09	$120.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $132.30 / $176.30	Professional		$62.00	$132.30	$176.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $79.88 / $132.30	Facility		$61.05	$79.88	$132.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $79.88 / $132.30	Professional		$61.05	$79.88	$132.30
United Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $169.34	Facility		$141.12	$141.12	$169.34
United Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $52.80 / $79.54	Professional		$47.72	$52.80	$79.54