Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $165.96 / $309.03	Facility		$58.88	$165.96	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $89.13	Professional		$52.48	$61.66	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $52.48	Professional		$31.62	$31.62	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $70.79	Professional		$60.26	$64.57	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $407.38	Facility		$81.28	$194.98	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Professional		$87.10	$87.10	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $109.65	Professional		$79.43	$87.10	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $89.13 / $131.83	Facility		$63.10	$89.13	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $165.96	Professional		$51.29	$51.29	$165.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $154.88	Facility		$54.95	$79.43	$154.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $154.88	Professional		$54.95	$79.43	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $91.20	Professional		$33.11	$39.81	$91.20