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 $55.89 / $55.89 / $71.37	Professional		$55.89	$55.89	$71.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $64.02 / $68.53	Professional		$64.02	$64.02	$68.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $69.65	Facility		$69.65	$69.65	$69.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $50.84 / $69.65	Professional		$50.84	$50.84	$69.65
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 $65.00 / $125.31 / $166.99	Professional		$65.00	$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 Professional Modifier Low / Median / High Price $41.55 / $50.01 / $75.14	Professional		$41.55	$50.01	$75.14