Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $48.53 / $48.53	Facility		$40.17	$48.53	$48.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $48.53 / $57.20	Professional		$40.17	$48.53	$57.20
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 $50.59 / $50.59 / $63.24	Professional		$50.59	$50.59	$63.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $65.31 / $67.09	Professional		$65.31	$65.31	$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 / $53.85	Professional		$39.31	$39.31	$53.85
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 $45.91 / $64.70 / $105.83	Facility		$45.91	$64.70	$105.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $122.70 / $163.50	Professional		$39.00	$122.70	$163.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.62 / $76.83 / $111.41	Facility		$56.62	$76.83	$111.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $76.83 / $111.41	Professional		$56.62	$76.83	$111.41
United Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $48.97 / $76.83	Professional		$42.61	$48.97	$76.83