Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $65.12 / $468.00	Facility		$48.15	$65.12	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $73.79 / $129.41	Professional		$47.90	$73.79	$129.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $52.15 / $100.00	Professional		$0.02	$52.15	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $31.61 / $61.64	Professional		$31.61	$31.61	$61.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $94.46 / $168.30	Professional		$61.60	$94.46	$168.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $85.78 / $151.47	Professional		$69.36	$85.78	$151.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $98.83 / $147.71	Facility		$64.20	$98.83	$147.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $122.00 / $165.00	Professional		$101.87	$122.00	$165.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $89.88 / $145.66	Facility		$64.23	$89.88	$145.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $117.19 / $187.20	Professional		$86.81	$117.19	$187.20
United Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $100.42 / $164.78	Professional		$67.78	$100.42	$164.78