Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $58.42 / $58.42	Facility		$48.36	$58.42	$58.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $58.42 / $65.02	Professional		$48.36	$58.42	$65.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.15 / $118.15 / $125.48	Facility		$118.15	$118.15	$125.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $64.81 / $84.14	Professional		$64.81	$64.81	$84.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $62.08 / $80.77	Professional		$62.08	$62.08	$80.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $81.30	Professional		$59.35	$59.35	$81.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $106.34 / $141.78	Professional		$82.71	$106.34	$141.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $71.72 / $132.55	Facility		$34.83	$71.72	$132.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $147.69 / $196.81	Professional		$70.00	$147.69	$196.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $92.47 / $147.69	Facility		$68.15	$92.47	$147.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $92.47 / $147.69	Professional		$68.15	$92.47	$147.69
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.94 / $88.56	Professional		$48.98	$58.94	$88.56