Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $52.48	Facility		$48.98	$48.98	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $52.48	Professional		$28.84	$43.65	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $79.43	Professional		$31.62	$39.81	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $24.55	Professional		$15.85	$23.44	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $181.97	Professional		$16.22	$19.50	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $53.70	Professional		$31.62	$42.66	$53.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $77.62	Facility		$32.36	$48.98	$77.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $61.66 / $125.89	Facility		$42.66	$61.66	$125.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $125.89	Professional		$42.66	$61.66	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $234.42 / $812.83	Facility		$67.61	$234.42	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $107.15	Professional		$38.90	$69.18	$107.15