Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $74.97 / $74.97	Facility		$50.39	$74.97	$74.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $53.48 / $74.97	Professional		$46.20	$53.48	$74.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $117.29	Professional		$82.50	$82.50	$117.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $208.65	Professional		$107.00	$107.00	$208.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $66.23 / $109.54	Professional		$52.98	$66.23	$109.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $67.02 / $114.18	Facility		$50.39	$67.02	$114.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $101.57 / $130.87	Professional		$72.00	$101.57	$130.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $67.92 / $101.29	Facility		$53.59	$67.92	$101.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $67.92 / $101.29	Professional		$53.59	$67.92	$101.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $77.00 / $130.00	Professional		$30.00	$77.00	$130.00