Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $66.62 / $66.62	Facility		$55.15	$66.62	$66.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $66.62 / $69.88	Professional		$55.15	$66.62	$69.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $134.75 / $143.10	Facility		$134.75	$134.75	$143.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $91.30	Professional		$68.81	$68.81	$91.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $92.11	Professional		$72.00	$72.00	$92.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $73.43	Professional		$53.60	$53.60	$73.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $121.28 / $161.69	Professional		$94.33	$121.28	$161.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $78.86 / $151.18	Facility		$37.85	$78.86	$151.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $168.44 / $224.46	Professional		$68.00	$168.44	$224.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $101.99 / $168.73	Facility		$77.73	$101.99	$168.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $101.99 / $168.73	Professional		$77.73	$101.99	$168.73
United Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $67.22 / $101.00	Professional		$53.23	$67.22	$101.00