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 $66.38 / $66.38 / $81.62	Professional		$66.38	$66.38	$81.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $77.31	Professional		$75.23	$75.23	$77.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $70.70	Professional		$51.62	$51.62	$70.70
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 $52.40 / $75.80 / $121.92	Facility		$52.40	$75.80	$121.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $141.38 / $188.41	Professional		$53.00	$141.38	$188.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $88.51 / $128.36	Facility		$65.23	$88.51	$128.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $88.51 / $128.36	Professional		$65.23	$88.51	$128.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $56.42 / $88.51	Professional		$48.59	$56.42	$88.51