Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $63.45 / $176.94	Facility		$53.85	$63.45	$176.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $75.00 / $145.46	Professional		$55.99	$75.00	$145.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $79.04 / $120.07	Professional		$58.50	$79.04	$120.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $66.78 / $121.48	Professional		$59.18	$66.78	$121.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Facility		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $91.49 / $179.66	Professional		$61.13	$91.49	$179.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $99.90 / $237.83	Professional		$67.16	$99.90	$237.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $87.92 / $131.66	Facility		$66.72	$87.92	$131.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $93.00 / $112.77 / $202.50	Facility	50	$93.00	$112.77	$202.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $12.40 / $15.04 / $27.00	Facility	80	$12.40	$15.04	$27.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $8.68 / $10.53 / $18.89	Facility	AS	$8.68	$10.53	$18.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $103.00 / $137.00	Professional		$81.00	$103.00	$137.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.86 / $87.74 / $169.92	Facility		$65.86	$87.74	$169.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $87.74 / $169.92	Professional		$65.86	$87.74	$169.92
United Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $79.30 / $142.29	Professional		$51.74	$79.30	$142.29