Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $53.23 / $130.94	Facility		$41.03	$53.23	$130.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $44.45 / $53.23	Professional		$29.54	$44.45	$53.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $40.74 / $56.55	Professional		$0.02	$40.74	$56.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $53.16 / $103.66	Professional		$45.82	$53.16	$103.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $48.48 / $48.48	Facility		$48.48	$48.48	$48.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $66.90 / $133.88	Professional		$34.22	$66.90	$133.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $47.91 / $176.79	Professional		$32.21	$47.91	$176.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $59.33 / $97.41	Facility		$39.00	$59.33	$97.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $72.00 / $100.00	Professional		$58.03	$72.00	$100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $66.75 / $128.16	Facility		$46.02	$66.75	$128.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $66.93 / $128.16	Professional		$46.68	$66.93	$128.16
United Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $57.45 / $108.44	Professional		$36.20	$57.45	$108.44