Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $54.51 / $125.49	Facility		$37.92	$54.51	$125.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $56.38 / $102.79	Professional		$37.92	$56.38	$102.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $58.57 / $95.06	Professional		$39.14	$58.57	$95.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $51.10 / $158.40	Professional		$46.04	$51.10	$158.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $195.94 / $226.64	Facility		$103.71	$195.94	$226.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $85.11 / $145.27	Professional		$44.68	$85.11	$145.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $62.00 / $77.87	Professional		$37.76	$62.00	$77.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $65.80 / $153.47	Facility		$39.86	$65.80	$153.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $105.00 / $170.00	Professional		$72.00	$105.00	$170.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $79.06 / $115.36	Facility		$43.98	$79.06	$115.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $106.16 / $156.90	Professional		$61.69	$106.16	$156.90
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $86.58 / $147.26	Professional		$49.95	$86.58	$147.26