Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $53.98 / $53.98	Facility		$44.68	$53.98	$53.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $53.98 / $60.08	Professional		$44.68	$53.98	$60.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.17 / $109.17 / $115.94	Facility		$109.17	$109.17	$115.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $59.20 / $77.75	Professional		$59.20	$59.20	$77.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $66.41 / $74.63	Professional		$66.41	$66.41	$74.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $66.72	Professional		$48.71	$48.71	$66.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $98.25 / $131.00	Professional		$76.42	$98.25	$131.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $67.14 / $122.49	Facility		$32.18	$67.14	$122.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $136.46 / $181.84	Professional		$65.00	$136.46	$181.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $82.39 / $136.69	Facility		$59.82	$82.39	$136.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $82.39 / $136.69	Professional		$59.82	$82.39	$136.69
United Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $54.46 / $82.04	Professional		$45.27	$54.46	$82.04