Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $51.22 / $123.26	Facility		$25.11	$51.22	$123.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $45.36 / $53.86	Professional		$25.11	$45.36	$53.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.55 / $42.58	Professional		$23.99	$30.55	$42.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $48.94 / $66.06	Professional		$29.00	$48.94	$66.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $54.28 / $110.87	Professional		$28.56	$54.28	$110.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $29.75 / $36.69	Professional		$24.79	$29.75	$36.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $55.87 / $73.98	Facility		$25.11	$55.87	$73.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $60.62 / $95.20	Professional		$49.00	$60.62	$95.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $56.79 / $1,098.00	Facility		$38.19	$56.79	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $56.79 / $1,098.00	Professional		$38.19	$56.79	$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 $36.79 / $57.76 / $91.08	Professional		$36.79	$57.76	$91.08