Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.11 / $108.60 / $108.60	Facility		$63.11	$108.60	$108.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $90.49 / $108.60	Professional		$54.00	$90.49	$108.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $236.16 / $326.17	Professional		$190.29	$236.16	$326.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $57.06 / $88.10	Professional		$43.40	$57.06	$88.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $27.62 / $268.18	Professional		$21.97	$27.62	$268.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $70.84 / $89.81	Professional		$59.03	$70.84	$89.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $94.67 / $165.40	Facility		$54.34	$94.67	$165.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $99.54 / $173.00	Professional		$78.48	$99.54	$173.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $117.64 / $184.75	Facility		$60.38	$117.64	$184.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $117.64 / $184.75	Professional		$60.38	$117.64	$184.75
United Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $77.09 / $165.54	Professional		$37.25	$77.09	$165.54