Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $67.61	Professional		$33.88	$44.67	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Facility		$87.10	$87.10	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $112.20	Professional		$53.70	$53.70	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Professional		$45.71	$45.71	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $48.98	Facility		$33.11	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $123.03	Professional		$61.66	$87.10	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $87.10	Professional		$38.90	$57.54	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $61.66 / $112.20	Facility		$36.31	$61.66	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $57.54	Professional		$46.77	$46.77	$57.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $257.04	Facility		$50.12	$72.44	$257.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $257.04	Professional		$50.12	$72.44	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $58.88 / $107.15	Facility		$19.95	$58.88	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $64.57	Professional		$38.90	$42.66	$64.57