Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $59.21	Facility		$58.60	$58.60	$59.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $58.60 / $61.08	Professional		$54.11	$58.60	$61.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $111.09 / $117.98	Facility		$111.09	$111.09	$117.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $61.08 / $79.12	Professional		$61.08	$61.08	$79.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $64.92 / $75.94	Professional		$64.92	$64.92	$75.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Facility		$90.38	$90.38	$90.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $90.38	Professional		$76.81	$76.81	$90.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $99.98 / $133.31	Professional		$77.76	$99.98	$133.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $68.34 / $124.66	Facility		$32.76	$68.34	$124.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $145.91 / $185.05	Professional		$69.00	$145.91	$185.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.87 / $85.42 / $141.94	Facility		$60.87	$85.42	$141.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $85.42 / $141.94	Professional		$60.87	$85.42	$141.94
United Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $55.43 / $79.52	Professional		$50.10	$55.43	$79.52