Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $68.26 / $364.03	Facility		$31.31	$68.26	$364.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $32.03 / $52.97	Professional		$19.17	$32.03	$52.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $23.40 / $32.57	Professional		$18.29	$23.40	$32.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.14 / $90.75	Professional		$35.09	$38.14	$90.75
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 $28.95 / $51.14 / $114.34	Professional		$28.95	$51.14	$114.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $49.93 / $61.50	Professional		$42.05	$49.93	$61.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $38.75 / $65.00	Facility		$29.64	$38.75	$65.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $53.00 / $91.00	Professional		$47.00	$53.00	$91.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $42.04 / $104.34	Facility		$24.50	$42.04	$104.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $43.24 / $104.34	Professional		$25.79	$43.24	$104.34
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $43.97 / $58.63	Professional		$31.11	$43.97	$58.63