Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $75.87 / $174.44	Facility		$63.55	$75.87	$174.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $75.73 / $88.19	Professional		$63.55	$75.73	$88.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $80.12 / $107.67	Professional		$60.73	$80.12	$107.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $68.33 / $98.40	Professional		$68.33	$68.33	$98.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $91.67 / $162.35	Professional		$64.16	$91.67	$162.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $75.64 / $94.12	Professional		$64.89	$75.64	$94.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $86.99 / $118.97	Facility		$64.48	$86.99	$118.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $113.00 / $159.34	Professional		$99.00	$113.00	$159.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $81.67 / $170.62	Facility		$59.25	$81.67	$170.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $94.93 / $198.88	Professional		$69.31	$94.93	$198.88
United Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $96.85 / $150.32	Professional		$62.95	$96.85	$150.32