Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $65.28 / $65.98	Facility		$65.28	$65.28	$65.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $65.28 / $68.06	Professional		$60.29	$65.28	$68.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.78 / $123.78 / $131.44	Facility		$123.78	$123.78	$131.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.50 / $332.50 / $408.84	Professional		$332.50	$332.50	$408.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $84.62	Professional		$69.09	$69.09	$84.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $100.70	Facility		$100.70	$100.70	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $85.60	Professional		$85.60	$85.60	$85.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $111.40 / $148.54	Professional		$86.65	$111.40	$148.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $76.13 / $138.88	Facility		$36.50	$76.13	$138.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $162.59 / $206.19	Professional		$89.46	$162.59	$206.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $95.16 / $158.13	Facility		$71.40	$95.16	$158.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $95.16 / $158.13	Professional		$71.40	$95.16	$158.13
United Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $61.75 / $89.66	Professional		$56.53	$61.75	$89.66