Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $49.57 / $49.57	Facility		$41.03	$49.57	$49.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $49.57 / $55.15	Professional		$41.03	$49.57	$55.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $100.25 / $106.47	Facility		$100.25	$100.25	$106.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $53.72 / $71.37	Professional		$53.72	$53.72	$71.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $52.67 / $68.53	Professional		$52.67	$52.67	$68.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Professional		$41.84	$41.84	$41.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $90.23 / $120.30	Professional		$70.18	$90.23	$120.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $58.00 / $112.44	Facility		$29.54	$58.00	$112.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $125.31 / $166.99	Professional		$59.00	$125.31	$166.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $75.65 / $125.53	Facility		$38.44	$75.65	$125.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $75.65 / $125.53	Professional		$38.44	$75.65	$125.53
United Facility/Professional Facility Modifier Low / Median / High Price $122.32 / $122.32 / $146.78	Facility		$122.32	$122.32	$146.78
United Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $50.01 / $75.14	Professional		$41.55	$50.01	$75.14