Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $112.20	Professional		$56.23	$67.61	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $131.83	Facility		$123.03	$123.03	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $169.82	Professional		$81.28	$81.28	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $89.13	Facility		$58.88	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $173.78	Professional		$87.10	$123.03	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $123.03	Professional		$81.28	$81.28	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $93.33 / $173.78	Facility		$56.23	$93.33	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $81.28	Professional		$66.07	$75.86	$81.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $363.08	Facility		$70.79	$102.33	$363.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $363.08	Professional		$70.79	$102.33	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $165.96	Facility		$45.71	$91.20	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $93.33	Professional		$57.54	$60.26	$93.33