Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $77.66 / $181.55	Facility		$71.70	$77.66	$181.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $72.18 / $77.66	Professional		$62.49	$72.18	$77.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $84.50 / $115.89	Professional		$66.06	$84.50	$115.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $136.44 / $247.32	Professional		$86.30	$136.44	$247.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $91.78 / $171.61	Professional		$70.03	$91.78	$171.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $80.22 / $98.94	Professional		$66.84	$80.22	$98.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $92.56 / $131.22	Facility		$71.70	$92.56	$131.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $60.00 / $111.00	Professional		$42.00	$60.00	$111.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $61.42 / $139.90	Facility		$36.19	$61.42	$139.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $81.23 / $177.20	Professional		$38.15	$81.23	$177.20
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $94.46 / $151.69	Professional		$56.96	$94.46	$151.69