Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $89.13 / $537.03	Facility		$28.18	$89.13	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $42.66 / $61.66	Professional		$19.05	$42.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $58.88 / $79.43	Professional		$24.55	$58.88	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $95.50	Professional		$50.12	$58.88	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $213.80	Facility		$70.79	$97.72	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $45.71 / $87.10	Professional		$21.38	$45.71	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $79.43	Professional		$52.48	$63.10	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $37.15	Professional		$29.51	$36.31	$37.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $44.67 / $74.13	Facility		$25.12	$44.67	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $41.69 / $223.87	Facility		$23.99	$41.69	$223.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $223.87	Professional		$23.99	$41.69	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $67.61	Facility		$60.26	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $61.66	Professional		$21.88	$42.66	$61.66