Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $69.76 / $168.62	Facility		$51.12	$69.76	$168.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $69.76 / $73.03	Professional		$51.12	$69.76	$73.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $62.65 / $87.32	Professional		$49.20	$62.65	$87.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $70.64 / $90.32	Professional		$59.46	$70.64	$90.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $75.54 / $155.28	Professional		$56.40	$75.54	$155.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $60.55 / $74.68	Professional		$50.46	$60.55	$74.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $78.09 / $97.77	Facility		$51.12	$78.09	$97.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $82.72 / $127.50	Professional		$69.00	$82.72	$127.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.60 / $75.84 / $1,098.00	Facility		$55.60	$75.84	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $75.84 / $1,098.00	Professional		$55.60	$75.84	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $77.30 / $124.62	Professional		$53.96	$77.30	$124.62