Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.29 / $55.92 / $55.92	Facility		$46.29	$55.92	$55.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $55.92 / $66.13	Professional		$46.29	$55.92	$66.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $113.11 / $120.12	Facility		$113.11	$113.11	$120.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $78.65	Professional		$62.92	$62.92	$78.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $63.12 / $77.31	Professional		$63.12	$63.12	$77.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $47.20 / $89.10	Professional		$47.20	$47.20	$89.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $101.80 / $135.72	Professional		$79.18	$101.80	$135.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $68.65 / $126.33	Facility		$33.32	$68.65	$126.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $141.38 / $188.41	Professional		$70.00	$141.38	$188.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $85.60 / $141.63	Facility		$65.23	$85.60	$141.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $85.60 / $141.63	Professional		$65.23	$85.60	$141.63
United Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $56.42 / $84.97	Professional		$46.87	$56.42	$84.97