Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $42.88 / $42.88	Facility		$35.49	$42.88	$42.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $42.88 / $52.44	Professional		$33.94	$42.88	$52.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $86.72 / $92.10	Facility		$86.72	$86.72	$92.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $61.76	Professional		$46.60	$46.60	$61.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $45.56 / $59.28	Professional		$45.56	$45.56	$59.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $49.61	Professional		$36.22	$36.22	$49.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $78.05 / $104.06	Professional		$60.70	$78.05	$104.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $50.17 / $96.92	Facility		$25.57	$50.17	$96.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $104.00 / $144.44	Professional		$52.00	$104.00	$144.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $65.45 / $108.58	Facility		$33.26	$65.45	$108.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $65.45 / $108.58	Professional		$33.26	$65.45	$108.58
United Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $43.27 / $65.01	Professional		$35.96	$43.27	$65.01