Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $40.71 / $130.68	Facility		$40.71	$40.71	$130.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $43.28 / $59.05	Professional		$30.82	$43.28	$59.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $33.11 / $46.90	Professional		$24.84	$33.11	$46.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $94.73 / $136.41	Professional		$94.73	$94.73	$136.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $72.00 / $202.81	Facility		$70.00	$72.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $59.25 / $112.96	Professional		$39.50	$59.25	$112.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $66.18 / $87.51	Professional		$55.15	$66.18	$87.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $49.27 / $80.67	Facility		$37.74	$49.27	$80.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $100.38 / $128.74	Professional		$65.00	$100.38	$128.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $60.70 / $134.71	Facility		$42.46	$60.70	$134.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $60.70 / $134.71	Professional		$42.46	$60.70	$134.71
United Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $61.13 / $80.62	Professional		$42.53	$61.13	$80.62