Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $51.77 / $51.77	Facility		$42.86	$51.77	$51.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $51.77 / $57.61	Professional		$42.86	$51.77	$57.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $111.20	Facility		$104.71	$104.71	$111.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $57.20 / $74.56	Professional		$57.20	$57.20	$74.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $58.45 / $71.58	Professional		$58.45	$58.45	$71.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $95.00	Facility		$59.89	$59.89	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $43.72 / $59.89	Professional		$43.72	$43.72	$59.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $94.24 / $125.65	Professional		$73.30	$94.24	$125.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $63.56 / $117.48	Facility		$30.87	$63.56	$117.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $130.88 / $174.42	Professional		$62.00	$130.88	$174.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.48 / $79.02 / $131.12	Facility		$53.48	$79.02	$131.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $79.02 / $131.12	Professional		$53.48	$79.02	$131.12
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $52.24 / $78.48	Professional		$43.41	$52.24	$78.48