Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $44.38 / $44.38	Facility		$36.72	$44.38	$44.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $44.38 / $49.38	Professional		$36.72	$44.38	$49.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $95.31	Facility		$89.75	$89.75	$95.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $48.09 / $63.91	Professional		$48.09	$48.09	$63.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $61.36	Professional		$48.65	$48.65	$61.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $57.03	Professional		$41.63	$41.63	$57.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $80.78 / $107.70	Professional		$62.83	$80.78	$107.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $54.63 / $100.71	Facility		$26.46	$54.63	$100.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $112.19 / $149.50	Professional		$58.00	$112.19	$149.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.27 / $67.73 / $112.38	Facility		$41.27	$67.73	$112.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $67.73 / $112.38	Professional		$41.27	$67.73	$112.38
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $44.78 / $67.45	Professional		$37.89	$44.78	$67.45