Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $58.93 / $77.39	Professional		$37.49	$58.93	$77.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $76.52 / $76.52	Professional		$76.52	$76.52	$76.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $62.49 / $72.20	Professional		$62.49	$62.49	$72.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $87.14	Facility		$66.39	$66.39	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $56.43 / $77.00	Professional		$56.43	$56.43	$77.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $74.73 / $98.82	Professional		$62.28	$74.73	$98.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $51.20 / $113.02	Facility		$36.40	$51.20	$113.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $97.10 / $97.10	Professional		$97.10	$97.10	$97.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $10.81 / $89.92	Facility		$6.29	$10.81	$89.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $11.47 / $89.92	Professional		$6.29	$11.47	$89.92
United Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $53.15 / $83.36	Professional		$44.54	$53.15	$83.36