Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $41.69 / $56.23	Facility		$32.36	$41.69	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $131.83	Professional		$30.90	$51.29	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $95.50	Professional		$40.74	$61.66	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $66.07	Professional		$44.67	$48.98	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $117.49	Professional		$41.69	$69.18	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $75.86	Professional		$33.11	$54.95	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $87.10	Facility		$34.67	$56.23	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $61.66 / $100.00	Facility		$42.66	$61.66	$100.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $120.23	Professional		$58.88	$83.18	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $114.82	Professional		$35.48	$63.10	$114.82