Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $65.06	Facility		$30.10	$30.10	$65.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $49.15 / $65.06	Professional		$30.10	$49.15	$65.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $150.65 / $155.16	Professional		$62.14	$150.65	$155.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $113.31 / $125.51	Professional		$82.02	$113.31	$125.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.66 / $204.58 / $500.00	Facility		$110.66	$204.58	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $95.68 / $174.11	Professional		$52.08	$95.68	$174.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $233.44 / $276.12	Professional		$194.53	$233.44	$276.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $90.16 / $138.44	Facility		$55.78	$90.16	$138.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $103.00 / $161.00	Professional		$36.00	$103.00	$161.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $66.22 / $122.38	Facility		$28.86	$66.22	$122.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $89.79 / $144.91	Professional		$42.52	$89.79	$144.91
United Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $185.87 / $185.87	Professional		$185.87	$185.87	$185.87