Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $47.43 / $85.35	Facility		$47.43	$47.43	$85.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $62.11 / $88.96	Professional		$38.65	$62.11	$88.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $60.10 / $105.26	Professional		$37.88	$60.10	$105.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $41.53 / $71.43	Professional		$37.38	$41.53	$71.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $83.26 / $148.56	Professional		$45.08	$83.26	$148.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $74.84 / $95.78	Professional		$40.15	$74.84	$95.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $68.95 / $104.95	Facility		$39.51	$68.95	$104.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $111.23 / $147.00	Professional		$99.43	$111.23	$147.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $62.55 / $95.37	Facility		$44.68	$62.55	$95.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $112.63 / $184.35	Professional		$81.31	$112.63	$184.35
United Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $109.78 / $168.13	Professional		$65.06	$109.78	$168.13