Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $63.52 / $160.59	Facility		$63.52	$63.52	$160.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $63.52 / $65.98	Professional		$52.58	$63.52	$65.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.47 / $128.47 / $136.44	Facility		$128.47	$128.47	$136.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $61.22 / $76.53	Professional		$61.22	$61.22	$76.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $87.82	Professional		$69.00	$69.00	$87.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $66.37	Professional		$48.45	$48.45	$66.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $115.62 / $154.16	Professional		$89.93	$115.62	$154.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $75.00 / $146.24	Facility		$33.67	$75.00	$146.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $160.59 / $213.99	Professional		$60.00	$160.59	$213.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $96.96 / $160.59	Facility		$74.11	$96.96	$160.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.11 / $96.96 / $160.59	Professional		$74.11	$96.96	$160.59
United Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $64.09 / $96.55	Professional		$47.36	$64.09	$96.55