Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $86.00 / $205.54	Facility		$55.74	$86.00	$205.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $68.00 / $120.61	Professional		$49.11	$68.00	$120.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $78.95 / $107.01	Professional		$61.56	$78.95	$107.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $82.87 / $165.00	Professional		$82.87	$82.87	$165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $75.00 / $202.81	Facility		$72.00	$75.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $84.35 / $126.31	Professional		$61.97	$84.35	$126.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $104.57 / $128.78	Professional		$88.06	$104.57	$128.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $85.45 / $121.23	Facility		$55.74	$85.45	$121.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.00 / $176.65	Professional		$100.00	$112.00	$176.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $97.49 / $183.86	Facility		$67.41	$97.49	$183.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $97.49 / $183.86	Professional		$67.41	$97.49	$183.86
United Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $85.40 / $118.05	Professional		$64.20	$85.40	$118.05