Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $76.77 / $77.59	Facility		$76.77	$76.77	$77.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $76.77 / $86.12	Professional		$74.44	$76.77	$86.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.56 / $145.56 / $154.58	Facility		$145.56	$145.56	$154.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $88.15 / $113.37	Professional		$88.15	$88.15	$113.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $99.51	Professional		$78.00	$78.00	$99.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $97.54	Professional		$71.20	$71.20	$97.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $131.00 / $174.67	Professional		$101.89	$131.00	$174.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $89.82 / $170.21	Facility		$46.88	$89.82	$170.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $191.20 / $242.46	Professional		$94.00	$191.20	$242.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.75 / $109.39 / $181.95	Facility		$79.75	$109.39	$181.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $109.39 / $181.95	Professional		$79.75	$109.39	$181.95
United Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $72.62 / $111.90	Professional		$67.64	$72.62	$111.90