Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $79.43	Facility		$51.29	$51.29	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $107.15	Professional		$60.26	$79.43	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $128.82	Professional		$100.00	$100.00	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $100.00 / $100.00	Professional		$10.47	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $177.83	Professional		$107.15	$128.82	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $67.61 / $123.03	Facility		$13.80	$67.61	$123.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $85.11 / $457.09	Facility		$10.47	$85.11	$457.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $85.11 / $457.09	Professional		$10.47	$85.11	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $50.12 / $79.43	Facility		$6.92	$50.12	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $144.54	Professional		$50.12	$64.57	$144.54