Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $77.62 / $177.83	Facility		$67.61	$77.62	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $131.83	Professional		$64.57	$74.13	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $117.49	Professional		$60.26	$87.10	$117.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $239.88	Professional		$63.10	$72.44	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $112.20 / $239.88	Facility		$72.44	$112.20	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $144.54	Professional		$61.66	$89.13	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $91.20	Professional		$63.10	$74.13	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $134.90	Professional		$104.71	$131.83	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Facility		$60.26	$85.11	$141.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $338.84	Facility		$50.12	$81.28	$338.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $338.84	Professional		$67.61	$93.33	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $77.62	Facility		$70.79	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $138.04	Professional		$44.67	$77.62	$138.04