Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $173.88 / $259.05	Facility		$30.00	$173.88	$259.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $240.00	Professional		$30.00	$41.00	$240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $128.00 / $160.01	Professional		$80.40	$128.00	$160.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $122.38 / $231.30	Professional		$122.38	$122.38	$231.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $142.00 / $182.00	Professional		$100.00	$142.00	$182.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $142.00 / $169.30	Professional		$2.00	$142.00	$169.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.29 / $2,460.00 / $3,184.32	Facility		$212.29	$2,460.00	$3,184.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $75.00 / $159.00	Professional		$67.02	$75.00	$159.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.27 / $76.00 / $99.24	Facility		$60.27	$76.00	$99.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $76.00 / $99.24	Professional		$60.27	$76.00	$99.24
United Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $189.00	Professional		$189.00	$189.00	$189.00