Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $55.46 / $146.74	Facility		$28.88	$55.46	$146.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $55.46 / $146.74	Professional		$28.88	$55.46	$146.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.21 / $194.38	Professional		$32.36	$60.21	$194.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $30.20 / $237.45	Professional		$21.67	$30.20	$237.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $70.33 / $169.37	Professional		$33.36	$70.33	$169.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $146.35 / $172.18	Professional		$121.96	$146.35	$172.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $68.51 / $169.77	Facility		$31.83	$68.51	$169.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $85.00 / $140.00	Professional		$71.00	$85.00	$140.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.64 / $44.60 / $75.16	Facility		$33.64	$44.60	$75.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $100.98 / $187.47	Professional		$65.44	$100.98	$187.47
United Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $97.59 / $147.57	Professional		$54.37	$97.59	$147.57