Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $61.39 / $61.39	Facility		$50.82	$61.39	$61.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $61.39 / $68.29	Professional		$50.82	$61.39	$68.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $124.16 / $131.86	Facility		$124.16	$124.16	$131.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $66.53 / $88.39	Professional		$66.53	$66.53	$88.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $65.23 / $84.88	Professional		$65.23	$65.23	$84.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $70.98	Professional		$51.82	$51.82	$70.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $111.74 / $148.99	Professional		$86.91	$111.74	$148.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $71.83 / $138.71	Facility		$36.59	$71.83	$138.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $155.19 / $206.82	Professional		$74.00	$155.19	$206.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $93.69 / $155.47	Facility		$47.61	$93.69	$155.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $93.69 / $155.47	Professional		$47.61	$93.69	$155.47
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $61.94 / $93.06	Professional		$51.46	$61.94	$93.06