Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $136.80 / $682.56	Facility		$28.52	$136.80	$682.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $55.73 / $78.42	Professional		$25.15	$55.73	$78.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $54.33 / $115.93	Professional		$26.17	$54.33	$115.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $24.27 / $47.33	Professional		$23.66	$24.27	$47.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $154.08	Facility		$42.21	$42.21	$154.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $76.83 / $137.87	Professional		$29.28	$76.83	$137.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $96.29 / $123.10	Professional		$75.75	$96.29	$123.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $68.04 / $119.43	Facility		$26.10	$68.04	$119.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $116.00 / $138.83	Professional		$63.58	$116.00	$138.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $35.32 / $59.09	Facility		$27.17	$35.32	$59.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $97.10 / $155.36	Professional		$77.58	$97.10	$155.36
United Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $93.19 / $148.87	Professional		$62.13	$93.19	$148.87