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 $52.55 / $52.55 / $68.16	Professional		$52.55	$52.55	$68.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $50.29 / $65.44	Professional		$50.29	$50.29	$65.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $66.58	Facility		$66.58	$66.58	$66.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $48.60 / $66.58	Professional		$48.60	$48.60	$66.58
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 / $58.87 / $107.40	Facility		$28.22	$58.87	$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 $46.24 / $71.94 / $119.65	Facility		$46.24	$71.94	$119.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $71.94 / $119.65	Professional		$46.24	$71.94	$119.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $47.75 / $71.94	Professional		$39.68	$47.75	$71.94