Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $67.59 / $468.00	Facility		$55.11	$67.59	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $59.33 / $76.83	Professional		$49.17	$59.33	$76.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $61.90 / $80.80	Professional		$50.40	$61.90	$80.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $69.84 / $120.14	Professional		$69.84	$69.84	$120.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $94.36 / $94.36	Facility		$94.36	$94.36	$94.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.23 / $103.85	Professional		$40.00	$58.23	$103.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $55.97 / $74.00	Professional		$44.76	$55.97	$74.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $66.28 / $102.64	Facility		$52.17	$66.28	$102.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $87.27 / $137.22	Professional		$76.00	$87.27	$137.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $85.10 / $132.84	Facility		$60.98	$85.10	$132.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $90.83 / $134.97	Professional		$61.67	$90.83	$134.97
United Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $83.54 / $125.01	Professional		$50.44	$83.54	$125.01