Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $47.33 / $47.33	Facility		$39.18	$47.33	$47.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $47.33 / $56.02	Professional		$39.18	$47.33	$56.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $95.72 / $101.65	Facility		$95.72	$95.72	$101.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $52.65 / $68.16	Professional		$52.65	$52.65	$68.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $53.44 / $65.44	Professional		$53.44	$53.44	$65.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $70.48 / $70.48	Facility		$45.00	$70.48	$70.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $70.48	Professional		$51.45	$51.45	$70.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $86.15 / $114.86	Professional		$67.00	$86.15	$114.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $58.10 / $107.40	Facility		$28.22	$58.10	$107.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $119.65 / $159.44	Professional		$57.00	$119.65	$159.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $72.23 / $119.86	Facility		$44.86	$72.23	$119.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $72.23 / $119.86	Professional		$44.86	$72.23	$119.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $47.75 / $71.94	Professional		$40.42	$47.75	$71.94