Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $46.69 / $47.20	Facility		$46.69	$46.69	$47.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $46.69 / $48.69	Professional		$39.09	$46.69	$48.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $88.55 / $94.04	Facility		$88.55	$88.55	$94.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $54.54 / $68.18	Professional		$54.54	$54.54	$68.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $49.42 / $60.53	Professional		$49.42	$49.42	$60.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $50.66 / $50.66	Facility		$47.32	$50.66	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $50.66	Professional		$36.97	$36.97	$50.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $79.70 / $106.26	Professional		$61.99	$79.70	$106.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $54.45 / $99.32	Facility		$26.11	$54.45	$99.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $116.31 / $147.49	Professional		$51.00	$116.31	$147.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $67.12 / $110.69	Facility		$51.07	$67.12	$110.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $67.12 / $110.69	Professional		$51.07	$67.12	$110.69
United Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $44.17 / $64.14	Professional		$40.45	$44.17	$64.14