Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $44.92 / $84.30	Facility		$44.92	$44.92	$84.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $44.92 / $53.15	Professional		$35.56	$44.92	$53.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.85 / $90.85 / $96.48	Facility		$90.85	$90.85	$96.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $49.41 / $64.58	Professional		$49.41	$49.41	$64.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $50.72	Professional		$50.72	$50.72	$50.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $64.81	Facility		$56.56	$56.56	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $41.29 / $60.71	Professional		$41.29	$41.29	$60.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $81.77 / $109.02	Professional		$63.60	$81.77	$109.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $55.88 / $103.42	Facility		$26.73	$55.88	$103.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $113.56 / $151.32	Professional		$53.00	$113.56	$151.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $68.77 / $113.76	Facility		$52.41	$68.77	$113.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $68.77 / $113.76	Professional		$52.41	$68.77	$113.76
United Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $45.32 / $68.28	Professional		$40.97	$45.32	$68.28