Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $123.61 / $917.46	Facility		$30.37	$123.61	$917.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $123.36 / $231.04	Professional		$22.69	$123.36	$231.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $147.18 / $297.95	Professional		$24.04	$147.18	$297.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $28.69 / $57.38	Professional		$22.47	$28.69	$57.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $267.94 / $1,010.48	Facility		$32.03	$267.94	$1,010.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $153.44 / $347.61	Professional		$24.62	$153.44	$347.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $180.55 / $344.89	Professional		$139.01	$180.55	$344.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $182.45 / $327.89	Facility		$26.94	$182.45	$327.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $268.00 / $394.00	Professional		$214.00	$268.00	$394.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $36.01 / $59.77	Facility		$23.61	$36.01	$59.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $193.45 / $270.10 / $465.58	Professional		$193.45	$270.10	$465.58
United Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $225.06 / $372.40	Professional		$162.21	$225.06	$372.40