Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $119.29	Professional		$89.00	$89.00	$119.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $104.86 / $104.86	Professional		$104.86	$104.86	$104.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $22.90 / $22.90	Professional		$22.90	$22.90	$22.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $252.00	Professional		$228.00	$228.00	$252.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $61.13 / $105.54	Facility		$57.67	$61.13	$105.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $116.29 / $4,071.00	Facility		$104.86	$116.29	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $116.29 / $4,071.00	Professional		$104.86	$116.29	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $104.86	Professional		$62.92	$62.92	$104.86