Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $45.20 / $45.68	Facility		$45.20	$45.20	$45.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $45.20 / $47.11	Professional		$26.01	$45.20	$47.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $85.70 / $91.01	Facility		$85.70	$85.70	$91.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $61.02	Professional		$47.52	$47.52	$61.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $53.36 / $58.58	Professional		$53.36	$53.36	$58.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $69.70	Professional		$59.25	$59.25	$69.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $77.13 / $102.84	Professional		$59.99	$77.13	$102.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $52.70 / $96.15	Facility		$25.26	$52.70	$96.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $112.57 / $142.75	Professional		$53.00	$112.57	$142.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $65.88 / $109.48	Facility		$46.95	$65.88	$109.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $65.88 / $109.48	Professional		$46.95	$65.88	$109.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $42.76 / $61.33	Professional		$38.64	$42.76	$61.33