Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $61.56 / $164.30	Facility		$61.56	$61.56	$164.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $61.56 / $82.95	Professional		$53.67	$61.56	$82.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $200.22	Professional		$150.00	$150.00	$200.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $76.03 / $76.03	Professional		$76.03	$76.03	$76.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $65.45 / $112.59	Facility		$65.45	$65.45	$112.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $116.44 / $151.37	Professional		$96.12	$116.44	$151.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $82.95 / $151.80	Facility		$61.56	$82.95	$151.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $155.00 / $237.41	Professional		$80.26	$155.00	$237.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.36 / $107.23 / $228.74	Facility		$89.36	$107.23	$228.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $107.23 / $228.74	Professional		$89.36	$107.23	$228.74
United Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $59.38 / $102.32	Professional		$53.67	$59.38	$102.32