Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $66.39 / $66.39	Facility		$66.23	$66.39	$66.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $66.23 / $66.39	Professional		$61.48	$66.23	$66.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $74.75 / $146.51	Professional		$62.66	$74.75	$146.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $431.24 / $651.97	Professional		$121.45	$431.24	$651.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.69 / $155.87 / $1,085.59	Facility		$120.69	$155.87	$1,085.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $96.33 / $156.51	Professional		$55.64	$96.33	$156.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $93.34 / $97.03	Professional		$67.86	$93.34	$97.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $96.05 / $122.81	Facility		$66.39	$96.05	$122.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $36.00 / $121.01	Professional		$28.00	$36.00	$121.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $66.65 / $145.52	Facility		$25.36	$66.65	$145.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $81.05 / $171.76	Professional		$26.57	$81.05	$171.76
United Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $129.74 / $215.65	Professional		$73.52	$129.74	$215.65