Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.19 / $40.19 / $40.63	Facility		$40.19	$40.19	$40.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $40.19 / $41.91	Professional		$37.11	$40.19	$41.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $76.23 / $80.95	Facility		$76.23	$76.23	$80.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $118.75 / $146.01	Professional		$118.75	$118.75	$146.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.71 / $52.11	Professional		$42.55	$42.71	$52.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Facility		$62.01	$62.01	$62.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $62.01	Professional		$52.71	$52.71	$62.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $68.61 / $91.48	Professional		$53.36	$68.61	$91.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $47.02 / $86.76	Facility		$22.47	$47.02	$86.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $100.12 / $126.96	Professional		$55.08	$100.12	$126.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.96 / $57.51 / $95.44	Facility		$43.96	$57.51	$95.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $57.51 / $95.44	Professional		$43.96	$57.51	$95.44
United Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $46.00 / $52.45	Facility		$26.82	$46.00	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $38.02 / $54.55	Professional		$34.81	$38.02	$54.55