Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $97.72 / $660.69	Facility		$25.70	$97.72	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $58.88 / $112.20	Professional		$21.88	$58.88	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $42.66	Professional		$22.39	$28.84	$42.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $37.15	Professional		$23.99	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $60.26 / $117.49	Professional		$23.99	$60.26	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $123.03	Professional		$50.12	$70.79	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $56.23 / $107.15	Facility		$23.44	$56.23	$107.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.84 / $52.48	Facility		$16.60	$28.84	$52.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $154.88	Professional		$53.70	$91.20	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $54.95 / $134.90	Professional		$20.89	$54.95	$134.90