Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $72.36 / $105.54	Facility		$55.75	$72.36	$105.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $55.75 / $78.45	Professional		$43.82	$55.75	$78.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.76 / $112.76 / $119.75	Facility		$112.76	$112.76	$119.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $61.34 / $78.37	Professional		$61.34	$61.34	$78.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $77.08	Professional		$60.00	$60.00	$77.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $73.06	Facility		$68.22	$68.22	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $73.06	Professional		$49.80	$49.80	$73.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $101.48 / $135.31	Professional		$78.93	$101.48	$135.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $69.36 / $129.66	Facility		$32.44	$69.36	$129.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $140.94 / $187.83	Professional		$67.00	$140.94	$187.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $85.10 / $140.94	Facility		$65.04	$85.10	$140.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $85.10 / $140.94	Professional		$65.04	$85.10	$140.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $56.26 / $84.75	Professional		$45.62	$56.26	$84.75