Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.20 / $117.29 / $223.20	Facility		$58.20	$117.29	$223.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $69.40 / $83.20	Professional		$39.18	$69.40	$83.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $84.12 / $110.52	Professional		$60.66	$84.12	$110.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $61.20 / $115.50	Professional		$53.15	$61.20	$115.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $80.00 / $202.81	Facility		$72.00	$80.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $86.83 / $149.52	Professional		$61.27	$86.83	$149.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $79.56 / $97.99	Professional		$67.00	$79.56	$97.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.69 / $70.73 / $116.29	Facility		$37.69	$70.73	$116.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $101.36 / $149.61	Professional		$86.00	$101.36	$149.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $85.82 / $174.23	Facility		$25.88	$85.82	$174.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $86.77 / $174.23	Professional		$54.48	$86.77	$174.23
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $85.03 / $141.28	Professional		$52.47	$85.03	$141.28