Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $90.49 / $368.29	Facility		$33.03	$90.49	$368.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $67.88 / $112.42	Professional		$29.65	$67.88	$112.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $73.80 / $135.06	Professional		$28.39	$73.80	$135.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $32.72 / $65.45	Professional		$31.37	$32.72	$65.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $76.72 / $204.97	Facility		$46.38	$76.72	$204.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $82.26 / $155.57	Professional		$31.57	$82.26	$155.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $97.19 / $153.65	Professional		$74.05	$97.19	$153.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $77.55 / $151.99	Facility		$30.73	$77.55	$151.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $116.00 / $164.00	Professional		$98.00	$116.00	$164.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $43.26 / $70.00	Facility		$29.76	$43.26	$70.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $131.44 / $195.46	Professional		$84.16	$131.44	$195.46
United Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $98.47 / $175.89	Professional		$67.95	$98.47	$175.89