Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $56.02 / $184.17	Facility		$46.38	$56.02	$184.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $52.58 / $64.70	Professional		$36.50	$52.58	$64.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.31 / $113.31 / $120.34	Facility		$113.31	$113.31	$120.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $71.83 / $89.79	Professional		$71.83	$71.83	$89.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $77.45	Professional		$61.00	$61.00	$77.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $74.27	Facility		$70.80	$70.80	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $70.80	Professional		$51.68	$51.68	$70.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $101.98 / $135.97	Professional		$79.31	$101.98	$135.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $69.69 / $128.97	Facility		$36.50	$69.69	$128.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $141.63 / $188.74	Professional		$64.00	$141.63	$188.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $85.51 / $141.63	Facility		$65.36	$85.51	$141.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $85.51 / $141.63	Professional		$65.36	$85.51	$141.63
United Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $56.53 / $85.15	Professional		$51.09	$56.53	$85.15