Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.30 / $77.34 / $176.50	Facility		$68.30	$77.34	$176.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $71.28 / $88.74	Professional		$61.99	$71.28	$88.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $81.01 / $107.01	Professional		$58.84	$81.01	$107.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $69.34 / $200.75	Professional		$69.34	$69.34	$200.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $80.00 / $241.92	Facility		$72.00	$80.00	$241.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $88.39 / $154.41	Professional		$62.63	$88.39	$154.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $75.33 / $92.77	Professional		$63.43	$75.33	$92.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $84.31 / $132.38	Facility		$60.80	$84.31	$132.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $100.00 / $167.00	Professional		$90.00	$100.00	$167.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $79.04 / $163.92	Facility		$50.59	$79.04	$163.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $91.61 / $163.92	Professional		$68.22	$91.61	$163.92
United Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $96.12 / $149.32	Professional		$59.69	$96.12	$149.32