Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.02 / $57.02 / $57.62	Facility		$57.02	$57.02	$57.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $57.02 / $59.44	Professional		$52.67	$57.02	$59.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.11 / $108.11 / $114.81	Facility		$108.11	$108.11	$114.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $87.29 / $107.33	Professional		$87.29	$87.29	$107.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $60.62 / $73.91	Professional		$60.62	$60.62	$73.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $87.96	Facility		$87.96	$87.96	$87.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $87.96	Professional		$74.77	$74.77	$87.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $97.30 / $129.72	Professional		$75.68	$97.30	$129.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $66.48 / $121.30	Facility		$31.87	$66.48	$121.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $142.00 / $180.08	Professional		$78.13	$142.00	$180.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $83.11 / $138.11	Facility		$62.36	$83.11	$138.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $83.11 / $138.11	Professional		$62.36	$83.11	$138.11
United Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $53.93 / $78.31	Professional		$49.38	$53.93	$78.31