Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.46 / $130.71 / $130.71	Facility		$40.46	$130.71	$130.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $56.83 / $130.71	Professional		$34.68	$56.83	$130.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $115.77 / $163.28	Professional		$92.76	$115.77	$163.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $23.00	Professional		$20.00	$20.00	$23.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.65 / $365.72 / $750.71	Facility		$59.65	$365.72	$750.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.70 / $255.70 / $255.70	Professional		$255.70	$255.70	$255.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $29.24 / $34.81	Professional		$26.17	$29.24	$34.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $58.67 / $142.47	Facility		$31.99	$58.67	$142.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $125.40 / $164.00	Professional		$68.23	$125.40	$164.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $141.56 / $434.88	Facility		$72.39	$141.56	$434.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $141.56 / $434.88	Professional		$72.39	$141.56	$434.88
United Facility/Professional Facility Modifier Low / Median / High Price $202.48 / $608.15 / $608.15	Facility		$202.48	$608.15	$608.15
United Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $38.79 / $161.83	Professional		$18.77	$38.79	$161.83