Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $150.44	Facility		$65.33	$65.33	$150.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $65.33 / $99.49	Professional		$63.79	$65.33	$99.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $61.49 / $75.59	Professional		$61.49	$61.49	$75.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $15.38	Professional		$15.38	$15.38	$15.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $58.30 / $73.02	Professional		$49.55	$58.30	$73.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $76.86 / $107.79	Facility		$65.33	$76.86	$107.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $76.00 / $106.13	Professional		$71.45	$76.00	$106.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $73.02 / $94.15	Facility		$60.85	$73.02	$94.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $73.02 / $94.15	Professional		$60.85	$73.02	$94.15
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $76.86	Professional		$64.05	$64.05	$76.86