Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $87.10	Facility		$48.98	$56.23	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $70.79	Professional		$40.74	$48.98	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $89.13	Professional		$47.86	$63.10	$89.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $194.98	Professional		$56.23	$87.10	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $104.71	Professional		$47.86	$66.07	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $131.83	Professional		$41.69	$52.48	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $117.49	Professional		$75.86	$97.72	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $69.18 / $104.71	Facility		$47.86	$69.18	$104.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $69.18 / $1,659.59	Facility		$46.77	$69.18	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $1,659.59	Professional		$46.77	$69.18	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $109.65	Professional		$40.74	$66.07	$109.65