Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $51.07 / $129.13	Facility		$42.28	$51.07	$129.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $51.07 / $72.34	Professional		$42.28	$51.07	$72.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $103.30 / $109.70	Facility		$103.30	$103.30	$109.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $56.30 / $71.87	Professional		$56.30	$56.30	$71.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $68.72 / $70.62	Professional		$68.72	$68.72	$70.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $61.21	Professional		$44.68	$44.68	$61.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $92.97 / $123.96	Professional		$72.31	$92.97	$123.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $70.23 / $111.37	Facility		$51.07	$70.23	$111.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $124.00 / $172.06	Professional		$78.00	$124.00	$172.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $80.84 / $117.24	Facility		$59.58	$80.84	$117.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $80.84 / $117.24	Professional		$59.58	$80.84	$117.24
United Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $127.86 / $153.43	Facility		$127.86	$127.86	$153.43
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $51.53 / $80.84	Professional		$45.04	$51.53	$80.84