Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $257.04	Facility		$60.26	$93.33	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $169.82	Professional		$57.54	$77.62	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $120.23	Professional		$61.66	$83.18	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $199.53	Professional		$75.86	$89.13	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $117.49 / $338.84	Facility		$72.44	$117.49	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $141.25	Professional		$57.54	$85.11	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $125.89	Professional		$89.13	$107.15	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $83.18 / $128.82	Facility		$58.88	$83.18	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $389.05	Facility		$66.07	$100.00	$389.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $389.05	Professional		$66.07	$100.00	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $109.65 / $109.65	Facility		$100.00	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $114.82	Professional		$63.10	$87.10	$114.82