Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $53.40 / $53.97	Facility		$53.40	$53.40	$53.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $53.40 / $57.82	Professional		$47.88	$53.40	$57.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $101.25 / $107.53	Facility		$101.25	$101.25	$107.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $78.47	Professional		$61.57	$61.57	$78.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.12 / $66.22 / $66.22	Facility		$54.12	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $66.22	Professional		$48.34	$48.34	$66.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $91.13 / $121.50	Professional		$70.88	$91.13	$121.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $62.48 / $116.44	Facility		$32.61	$62.48	$116.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $132.99 / $168.65	Professional		$66.00	$132.99	$168.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $76.08 / $126.56	Facility		$58.40	$76.08	$126.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $76.08 / $126.56	Professional		$58.40	$76.08	$126.56
United Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $50.51 / $77.83	Professional		$47.99	$50.51	$77.83