Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $57.54 / $151.36	Facility		$47.86	$57.54	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $107.15	Professional		$47.86	$57.54	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $128.82	Facility		$120.23	$120.23	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $134.90	Professional		$64.57	$64.57	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $67.61	Facility		$52.48	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $169.82	Professional		$85.11	$120.23	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $117.49	Professional		$61.66	$79.43	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $81.28 / $147.91	Facility		$47.86	$81.28	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $151.36	Professional		$64.57	$72.44	$151.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $346.74	Facility		$64.57	$97.72	$346.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $346.74	Professional		$64.57	$97.72	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $53.70 / $173.78	Facility		$36.31	$53.70	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $95.50	Professional		$53.70	$58.88	$95.50