Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $120.84 / $349.74	Facility		$27.91	$120.84	$349.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $49.03 / $68.94	Professional		$15.68	$49.03	$68.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $45.61 / $106.78	Professional		$17.79	$45.61	$106.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $17.09 / $33.33	Professional		$16.14	$17.09	$33.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $154.08	Facility		$28.89	$28.89	$154.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $65.44 / $120.01	Professional		$19.87	$65.44	$120.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $88.51 / $114.21	Professional		$70.28	$88.51	$114.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $58.18 / $102.38	Facility		$16.85	$58.18	$102.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $101.40 / $116.00	Professional		$43.03	$101.40	$116.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $24.49 / $40.97	Facility		$18.84	$24.49	$40.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $85.37 / $136.59	Professional		$68.45	$85.37	$136.59
United Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $82.75 / $132.91	Professional		$54.62	$82.75	$132.91