Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $37.71 / $37.71	Facility		$31.22	$37.71	$37.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $37.71 / $41.97	Professional		$31.22	$37.71	$41.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.28 / $76.28 / $81.01	Facility		$76.28	$76.28	$81.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $42.60 / $54.31	Professional		$42.60	$42.60	$54.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $40.07 / $52.14	Professional		$40.07	$40.07	$52.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Facility		$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $43.62	Professional		$31.84	$31.84	$43.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $68.65 / $91.54	Professional		$53.40	$68.65	$91.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $46.30 / $85.57	Facility		$22.48	$46.30	$85.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $95.35 / $127.05	Professional		$45.00	$95.35	$127.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $57.56 / $97.44	Facility		$39.70	$57.56	$97.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $57.56 / $97.44	Professional		$39.70	$57.56	$97.44
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.04 / $57.17	Professional		$31.62	$38.04	$57.17