Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.48 / $53.48 / $54.05	Facility		$53.48	$53.48	$54.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $53.48 / $57.87	Professional		$45.56	$53.48	$57.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $101.40 / $107.69	Facility		$101.40	$101.40	$107.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $57.87 / $75.58	Professional		$57.87	$57.87	$75.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $69.31	Professional		$54.00	$54.00	$69.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $60.21	Facility		$60.21	$60.21	$60.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $60.21	Professional		$43.95	$43.95	$60.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $91.26 / $121.68	Professional		$70.98	$91.26	$121.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $64.31 / $113.90	Facility		$31.03	$64.31	$113.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $133.18 / $168.89	Professional		$54.00	$133.18	$168.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $76.20 / $126.75	Facility		$58.49	$76.20	$126.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $76.20 / $126.75	Professional		$58.49	$76.20	$126.75
United Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $50.59 / $74.06	Professional		$47.12	$50.59	$74.06