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 $64.14 / $64.14 / $84.14	Professional		$64.14	$64.14	$84.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $65.95 / $80.77	Professional		$65.95	$65.95	$80.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $67.58	Professional		$49.33	$49.33	$67.58
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 $77.00 / $147.69 / $196.81	Professional		$77.00	$147.69	$196.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $88.78 / $147.69	Facility		$62.14	$88.78	$147.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $88.78 / $147.69	Professional		$62.14	$88.78	$147.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $58.94 / $88.78	Professional		$53.27	$58.94	$88.78