Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $80.17 / $158.59	Facility		$73.42	$80.17	$158.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $117.36 / $189.11	Facility		$55.62	$117.36	$189.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $69.09	Professional		$69.09	$69.09	$69.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $88.92 / $134.19	Professional		$78.14	$88.92	$134.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $82.90 / $173.10	Professional		$79.58	$82.90	$173.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $62.84 / $96.28	Facility		$25.84	$62.84	$96.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $71.98 / $92.13	Facility		$68.38	$71.98	$92.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $71.98 / $92.13	Professional		$68.38	$71.98	$92.13
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $71.98 / $90.33	Professional		$69.81	$71.98	$90.33