Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $64.30 / $64.30	Facility		$53.23	$64.30	$64.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $64.30 / $68.36	Professional		$52.88	$64.30	$68.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.06 / $130.06 / $138.12	Facility		$130.06	$130.06	$138.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $69.41 / $88.62	Professional		$69.41	$69.41	$88.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $88.91	Professional		$70.00	$70.00	$88.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $84.33	Facility		$84.33	$84.33	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $84.33	Professional		$61.56	$61.56	$84.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $117.05 / $156.07	Professional		$91.04	$117.05	$156.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $79.98 / $145.31	Facility		$36.70	$79.98	$145.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $162.58 / $216.63	Professional		$68.00	$162.58	$216.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $98.44 / $162.85	Facility		$75.02	$98.44	$162.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $98.44 / $162.85	Professional		$75.02	$98.44	$162.85
United Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $64.88 / $103.42	Professional		$52.56	$64.88	$103.42