Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $64.57 / $89.13	Facility		$61.66	$64.57	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $257.04	Professional		$61.66	$100.00	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $165.96	Professional		$67.61	$104.71	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $77.62	Professional		$51.29	$54.95	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $169.82	Professional		$64.57	$95.50	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $162.18	Professional		$70.79	$114.82	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $117.49	Professional		$74.13	$91.20	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $95.50 / $154.88	Facility		$58.88	$95.50	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $93.33	Professional		$39.81	$81.28	$93.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $123.03	Facility		$63.10	$75.86	$123.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $181.97	Professional		$89.13	$109.65	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $147.91	Professional		$53.70	$85.11	$147.91