Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $84.44 / $102.52	Facility		$84.44	$84.44	$102.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $94.02 / $108.57	Professional		$47.72	$94.02	$108.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $100.66 / $141.01	Professional		$78.65	$100.66	$141.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $174.07	Professional		$92.10	$92.10	$174.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $92.55 / $741.57	Facility		$80.01	$92.55	$741.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $139.63 / $270.89	Professional		$97.52	$139.63	$270.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $133.68 / $182.70	Professional		$106.94	$133.68	$182.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.12 / $111.27 / $159.05	Facility		$79.12	$111.27	$159.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $112.00 / $180.92	Professional		$52.54	$112.00	$180.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $65.83 / $189.28	Facility		$24.16	$65.83	$189.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $86.18 / $472.78	Professional		$35.99	$86.18	$472.78
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $77.54 / $132.69	Professional		$43.20	$77.54	$132.69