Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.11 / $54.73 / $671.65	Facility		$30.11	$54.73	$671.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $43.74 / $72.84	Professional		$25.79	$43.74	$72.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $44.94 / $70.09	Professional		$25.15	$44.94	$70.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $22.86 / $117.31	Professional		$22.86	$22.86	$117.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $43.42 / $43.42	Facility		$43.42	$43.42	$43.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.34 / $4.34 / $4.34	Facility	AS	$4.34	$4.34	$4.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $38.74 / $98.47	Professional		$19.93	$38.74	$98.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $60.00 / $71.43	Professional		$54.28	$60.00	$71.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $46.52 / $68.09	Facility		$25.79	$46.52	$68.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $2.96 / $5.54 / $6.73	Facility	AS	$2.96	$5.54	$6.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $62.00 / $95.00	Professional		$59.00	$62.00	$95.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $36.49 / $66.81	Facility		$24.64	$36.49	$66.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $58.40 / $121.66	Professional		$37.24	$58.40	$121.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $45.49 / $60.65	Professional		$33.17	$45.49	$60.65