Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.90 / $56.90 / $134.31	Facility		$56.90	$56.90	$134.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $56.90 / $69.58	Professional		$45.04	$56.90	$69.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $115.08 / $122.21	Facility		$115.08	$115.08	$122.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $64.01 / $80.01	Professional		$64.01	$64.01	$80.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $64.25 / $78.67	Professional		$64.25	$64.25	$78.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $71.19	Professional		$48.04	$48.04	$71.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $103.57 / $138.10	Professional		$80.56	$103.57	$138.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $69.84 / $129.12	Facility		$33.93	$69.84	$129.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $143.85 / $191.68	Professional		$66.00	$143.85	$191.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $87.11 / $144.09	Facility		$66.38	$87.11	$144.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $87.11 / $144.09	Professional		$66.38	$87.11	$144.09
United Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $140.44 / $168.53	Facility		$140.44	$140.44	$168.53
United Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $57.41 / $86.49	Professional		$48.59	$57.41	$86.49