Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $48.53 / $93.94	Facility		$48.53	$48.53	$93.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $48.53 / $56.93	Professional		$40.17	$48.53	$56.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $104.25	Facility		$98.16	$98.16	$104.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $52.41 / $65.51	Professional		$52.41	$52.41	$65.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $57.61 / $67.09	Professional		$57.61	$57.61	$67.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $81.70	Professional		$39.31	$39.31	$81.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $88.34 / $117.79	Professional		$68.70	$88.34	$117.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $56.78 / $109.20	Facility		$27.76	$56.78	$109.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $122.70 / $163.50	Professional		$69.75	$122.70	$163.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.62 / $74.42 / $122.70	Facility		$56.62	$74.42	$122.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $74.42 / $122.70	Professional		$56.62	$74.42	$122.70
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $48.97 / $73.77	Professional		$40.09	$48.97	$73.77