Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.22 / $71.22 / $85.49	Facility		$71.22	$71.22	$85.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $71.22 / $82.50	Professional		$58.95	$71.22	$82.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.04 / $144.04 / $152.97	Facility		$144.04	$144.04	$152.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $59.91	Professional		$45.00	$45.00	$59.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $77.50 / $98.46	Professional		$77.50	$77.50	$98.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $83.71	Professional		$61.11	$61.11	$83.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $129.63 / $172.85	Professional		$100.83	$129.63	$172.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.22 / $80.34 / $148.38	Facility		$71.22	$80.34	$148.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $180.05 / $239.93	Professional		$116.11	$180.05	$239.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $112.74 / $196.92	Facility		$78.92	$112.74	$196.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $112.74 / $196.92	Professional		$78.92	$112.74	$196.92
United Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $65.33 / $76.31	Facility		$50.68	$65.33	$76.31
United Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $71.86 / $112.74	Professional		$64.68	$71.86	$112.74