Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $120.23	Professional		$54.95	$69.18	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $141.25	Professional		$70.79	$95.50	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $72.44	Professional		$54.95	$61.66	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $239.88	Professional		$63.10	$79.43	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $120.23	Professional		$95.50	$117.49	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $63.10	Professional		$60.26	$63.10	$63.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $4,073.80	Facility		$64.57	$89.13	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $4,073.80	Professional		$64.57	$89.13	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $151.36	Professional		$56.23	$87.10	$151.36