Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $61.80 / $92.07	Facility		$37.89	$61.80	$92.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $41.42 / $41.42	Professional		$39.45	$41.42	$41.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $99.30 / $149.85	Professional		$87.26	$99.30	$149.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $37.21 / $39.45	Facility		$37.21	$37.21	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $47.34 / $188.50	Professional		$33.53	$47.34	$188.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $185.33	Facility		$39.45	$39.45	$185.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $243.00	Professional		$243.00	$243.00	$243.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $47.73 / $93.46	Facility		$37.47	$47.73	$93.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $47.73 / $93.46	Professional		$37.47	$47.73	$93.46
United Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $39.45 / $49.51	Professional		$38.81	$39.45	$49.51