Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $181.97	Facility		$52.48	$67.61	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $158.49	Professional		$54.95	$102.33	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $85.11	Professional		$0.02	$0.03	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $95.50	Professional		$56.23	$64.57	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $169.82	Professional		$67.61	$93.33	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $245.47	Professional		$69.18	$89.13	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $151.36	Professional		$72.44	$89.13	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $169.82	Facility		$72.44	$109.65	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $100.00	Professional		$69.18	$69.18	$100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $95.50 / $4,073.80	Facility		$67.61	$95.50	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $4,073.80	Professional		$67.61	$95.50	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $158.49	Professional		$57.54	$91.20	$158.49