Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $200.69 / $944.67	Facility		$42.86	$200.69	$944.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $26.98 / $64.45	Professional		$11.58	$26.98	$64.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $13.57 / $19.39	Professional		$11.06	$13.57	$19.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $13.77 / $26.03	Professional		$13.77	$13.77	$26.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $46.40 / $79.53	Professional		$12.51	$46.40	$79.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $56.72 / $70.90	Professional		$47.67	$56.72	$70.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $50.73 / $76.97	Facility		$12.69	$50.73	$76.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $64.00 / $87.82	Professional		$63.00	$64.00	$87.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $15.25 / $27.97	Facility		$8.33	$15.25	$27.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $63.34 / $106.60	Professional		$34.40	$63.34	$106.60
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $66.58 / $101.30	Professional		$41.79	$66.58	$101.30