Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.08 / $126.15 / $126.15	Facility		$125.08	$126.15	$126.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $18.10 / $126.15	Professional		$13.28	$18.10	$126.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $51.19 / $63.99	Professional		$29.99	$51.19	$63.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $32.61 / $56.09	Professional		$29.35	$32.61	$56.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $42.53	Professional		$19.00	$24.00	$42.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $118.31 / $156.43	Professional		$85.45	$118.31	$156.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $117.99 / $162.13	Facility		$14.26	$117.99	$162.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $220.76 / $295.49	Professional		$152.00	$220.76	$295.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $179.41 / $289.52	Facility		$87.60	$179.41	$289.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $179.41 / $289.52	Professional		$87.60	$179.41	$289.52
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $119.36 / $283.04	Professional		$23.82	$119.36	$283.04