Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $67.22	Facility		$66.51	$66.51	$67.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $66.51 / $75.19	Professional		$66.51	$66.51	$75.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.12 / $126.12 / $133.94	Facility		$126.12	$126.12	$133.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $76.13 / $100.70	Professional		$76.13	$76.13	$100.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $86.21	Professional		$68.00	$68.00	$86.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $84.25	Professional		$72.45	$72.45	$84.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $113.51 / $151.34	Professional		$88.28	$113.51	$151.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $79.98 / $145.04	Facility		$40.32	$79.98	$145.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $165.66 / $210.07	Professional		$89.00	$165.66	$210.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $94.75 / $157.65	Facility		$72.73	$94.75	$157.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $94.75 / $157.65	Professional		$72.73	$94.75	$157.65
United Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $82.54 / $94.11	Facility		$47.16	$82.54	$94.11
United Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $62.92 / $96.25	Professional		$58.63	$62.92	$96.25