Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $50.45 / $430.16	Facility		$20.65	$50.45	$430.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $159.31 / $376.93	Professional		$20.65	$159.31	$376.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $51.66 / $478.78	Professional		$20.07	$51.66	$478.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $22.26	Professional		$19.36	$19.36	$22.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $34.22	Facility		$34.22	$34.22	$34.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $88.01 / $610.30	Professional		$20.42	$88.01	$610.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $402.53 / $470.40	Professional		$349.62	$402.53	$470.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $54.99 / $400.45	Facility		$21.27	$54.99	$400.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $531.00 / $615.00	Professional		$49.01	$531.00	$615.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $31.67 / $213.42	Facility		$21.26	$31.67	$213.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $349.73 / $829.21	Professional		$146.65	$349.73	$829.21
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $271.70 / $416.24	Professional		$38.04	$271.70	$416.24