Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $47.55 / $48.06	Facility		$47.55	$47.55	$48.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $47.55 / $52.82	Professional		$44.21	$47.55	$52.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.16 / $90.16 / $95.75	Facility		$90.16	$90.16	$95.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $54.49 / $70.37	Professional		$54.49	$54.49	$70.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $61.64	Professional		$48.00	$48.00	$61.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $59.82	Professional		$43.67	$43.67	$59.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $81.14 / $108.19	Professional		$63.11	$81.14	$108.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $55.63 / $102.64	Facility		$29.04	$55.63	$102.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $118.43 / $150.19	Professional		$55.00	$118.43	$150.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $68.05 / $112.70	Facility		$52.01	$68.05	$112.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $68.05 / $112.70	Professional		$52.01	$68.05	$112.70
United Facility/Professional Facility Modifier Low / Median / High Price $120.21 / $120.21 / $144.25	Facility		$120.21	$120.21	$144.25
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $44.98 / $69.31	Professional		$42.73	$44.98	$69.31