Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $149.94 / $282.82	Facility		$67.15	$149.94	$282.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $67.15 / $67.15	Professional		$59.25	$67.15	$67.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $51.35	Professional		$31.60	$31.60	$51.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $71.09 / $138.63	Professional		$63.20	$71.09	$138.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $173.95 / $404.27	Facility		$51.35	$173.95	$404.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $87.45 / $104.78	Professional		$87.45	$87.45	$104.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $94.80 / $116.92	Professional		$79.00	$94.80	$116.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.77 / $90.85 / $141.96	Facility		$65.77	$90.85	$141.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $138.00 / $189.60	Professional		$108.00	$138.00	$189.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $79.00 / $126.72	Facility		$55.30	$79.00	$126.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $79.00 / $126.72	Professional		$55.30	$79.00	$126.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $41.08 / $90.85	Professional		$33.18	$41.08	$90.85