Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $85.11	Facility		$38.90	$46.77	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $109.65	Professional		$38.90	$67.61	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $120.23	Professional		$41.69	$72.44	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $53.70	Professional		$37.15	$41.69	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $151.36	Professional		$44.67	$81.28	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $102.33	Professional		$33.88	$74.13	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $109.65	Facility		$39.81	$72.44	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $57.54 / $95.50	Facility		$42.66	$57.54	$95.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $169.82	Professional		$81.28	$104.71	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $141.25	Professional		$38.02	$72.44	$141.25