Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $56.85 / $137.36	Facility		$49.10	$56.85	$137.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $49.10 / $56.85	Professional		$44.55	$49.10	$56.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $58.56 / $80.31	Professional		$45.79	$58.56	$80.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $96.50 / $186.95	Professional		$57.66	$96.50	$186.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $67.55 / $127.14	Professional		$48.37	$67.55	$127.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $55.51 / $68.45	Professional		$46.26	$55.51	$68.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $69.27 / $103.78	Facility		$49.10	$69.27	$103.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $73.00 / $113.66	Professional		$60.00	$73.00	$113.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $68.63 / $805.00	Facility		$50.81	$68.63	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $68.63 / $805.00	Professional		$50.81	$68.63	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $72.63 / $105.87	Professional		$42.20	$72.63	$105.87