Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $288.40	Facility		$30.20	$64.57	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $104.71	Professional		$30.20	$54.95	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $154.88	Professional		$61.66	$70.79	$154.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $147.91	Professional		$89.13	$109.65	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $229.09 / $616.60	Facility		$112.20	$229.09	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $181.97	Professional		$52.48	$91.20	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $295.12	Professional		$199.53	$239.88	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $177.83	Facility		$56.23	$89.13	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $69.18 / $190.55	Facility		$28.18	$69.18	$190.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.13 / $323.59	Professional		$37.15	$89.13	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $186.21 / $537.03	Facility		$70.79	$186.21	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21