Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $82.59 / $208.60	Facility		$27.38	$82.59	$208.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $56.42 / $56.42	Professional		$55.10	$56.42	$56.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $53.10 / $65.29	Professional		$53.10	$53.10	$65.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $7.73	Professional		$7.73	$7.73	$7.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $71.72 / $102.11	Professional		$53.60	$71.72	$102.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $66.38 / $93.09	Facility		$56.42	$66.38	$93.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $104.00 / $134.41	Professional		$86.06	$104.00	$134.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $63.06 / $83.06	Facility		$53.17	$63.06	$83.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $63.06 / $83.06	Professional		$53.17	$63.06	$83.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $70.91	Professional		$56.50	$56.50	$70.91