Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $64.57 / $467.74	Facility		$53.70	$64.57	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $81.28	Professional		$51.29	$61.66	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $95.50	Professional		$53.70	$67.61	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $87.10	Professional		$67.61	$70.79	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $104.71	Professional		$39.81	$60.26	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $74.13	Professional		$42.66	$56.23	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $114.82 / $120.23	Professional		$40.74	$114.82	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $109.65	Facility		$52.48	$67.61	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $117.49	Facility		$58.88	$77.62	$117.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $117.49	Professional		$58.88	$81.28	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $128.82	Professional		$48.98	$79.43	$128.82