Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $46.98 / $102.09	Facility		$46.98	$46.98	$102.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $70.34 / $80.52	Professional		$46.98	$70.34	$80.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $90.06 / $125.05	Professional		$69.75	$90.06	$125.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $102.71	Professional		$89.31	$89.31	$102.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $86.50 / $86.50	Facility		$86.50	$86.50	$86.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $78.59 / $154.72	Professional		$53.63	$78.59	$154.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $92.31 / $107.40	Professional		$79.83	$92.31	$107.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $60.41 / $96.70	Facility		$39.93	$60.41	$96.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $51.00 / $136.80	Professional		$43.00	$51.00	$136.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $100.14 / $4,071.00	Facility		$50.80	$100.14	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $100.14 / $4,071.00	Professional		$50.80	$100.14	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Facility		$78.84	$78.84	$78.84
United Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $57.17 / $103.43	Professional		$32.24	$57.17	$103.43