Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $122.05 / $258.48	Facility		$81.42	$122.05	$258.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $85.70 / $109.65	Professional		$73.81	$85.70	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $91.83 / $121.43	Professional		$58.22	$91.83	$121.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $79.90 / $273.42	Professional		$79.90	$79.90	$273.42
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 $70.23 / $96.72 / $149.44	Professional		$70.23	$96.72	$149.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $88.19 / $108.61	Professional		$74.26	$88.19	$108.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $91.60 / $139.21	Facility		$39.29	$91.60	$139.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $117.00 / $165.00	Professional		$106.00	$117.00	$165.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $93.96 / $199.05	Facility		$32.44	$93.96	$199.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $99.12 / $199.05	Professional		$70.66	$99.12	$199.05
United Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $100.24 / $155.69	Professional		$64.26	$100.24	$155.69