Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $44.38 / $44.38	Facility		$36.72	$44.38	$44.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $44.38 / $52.50	Professional		$36.72	$44.38	$52.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $95.31	Facility		$89.75	$89.75	$95.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $61.37	Professional		$49.10	$49.10	$61.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $50.11 / $61.36	Professional		$50.11	$50.11	$61.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $61.54	Professional		$44.92	$44.92	$61.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $80.78 / $107.70	Professional		$62.83	$80.78	$107.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $55.20 / $105.25	Facility		$26.46	$55.20	$105.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $117.89 / $149.50	Professional		$53.00	$117.89	$149.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.77 / $71.51 / $179.43	Facility		$51.77	$71.51	$179.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $71.51 / $179.43	Professional		$51.77	$71.51	$179.43
United Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $44.78 / $67.45	Professional		$37.21	$44.78	$67.45