Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.74 / $50.74	Facility		$42.00	$50.74	$50.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $50.74 / $59.73	Professional		$42.00	$50.74	$59.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.62 / $102.62 / $108.98	Facility		$102.62	$102.62	$108.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $61.97 / $79.95	Professional		$61.97	$61.97	$79.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $70.15	Professional		$55.00	$55.00	$70.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $66.72	Professional		$48.71	$48.71	$66.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $92.36 / $123.14	Professional		$71.83	$92.36	$123.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $63.11 / $116.81	Facility		$32.76	$63.11	$116.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $128.28 / $170.92	Professional		$60.00	$128.28	$170.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.19 / $77.67 / $128.49	Facility		$59.19	$77.67	$128.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $77.67 / $128.49	Professional		$59.19	$77.67	$128.49
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $51.19 / $78.20	Professional		$46.09	$51.19	$78.20