Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $50.19 / $50.19	Facility		$41.54	$50.19	$50.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $50.19 / $54.56	Professional		$41.54	$50.19	$54.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $101.50 / $107.79	Facility		$101.50	$101.50	$107.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $57.20 / $73.81	Professional		$57.20	$57.20	$73.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $69.38	Professional		$54.00	$54.00	$69.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $61.81	Facility		$61.81	$61.81	$61.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $61.81	Professional		$45.12	$45.12	$61.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $91.35 / $121.80	Professional		$71.05	$91.35	$121.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $62.43 / $115.54	Facility		$30.77	$62.43	$115.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $126.88 / $169.07	Professional		$54.00	$126.88	$169.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $76.84 / $127.10	Facility		$58.56	$76.84	$127.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $76.84 / $127.10	Professional		$58.56	$76.84	$127.10
United Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $50.64 / $76.29	Professional		$45.77	$50.64	$76.29