Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.64 / $186.46 / $702.56	Facility		$61.64	$186.46	$702.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $26.94 / $59.40	Professional		$13.75	$26.94	$59.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.59 / $48.59 / $48.59	Professional	50	$48.59	$48.59	$48.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $16.20 / $20.75	Professional		$12.92	$16.20	$20.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $206.68 / $221.53	Professional		$134.28	$206.68	$221.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $59.40 / $85.62	Facility		$52.41	$59.40	$85.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.81 / $46.19	Professional		$19.05	$23.81	$46.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.79 / $20.29	Professional		$19.00	$19.79	$20.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $29.68 / $35.10	Facility		$13.71	$29.68	$35.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $34.00 / $34.00	Professional		$30.00	$34.00	$34.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $19.96 / $9,929.00	Facility		$13.95	$19.96	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $19.96 / $9,929.00	Professional		$13.95	$19.96	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $138.88 / $331.91	Facility		$125.32	$138.88	$331.91
United Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $25.08 / $35.13	Professional		$15.83	$25.08	$35.13