Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $115.52 / $208.64	Facility		$67.84	$115.52	$208.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $67.84 / $67.84	Professional		$64.62	$67.84	$67.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $108.62 / $163.92	Professional		$95.45	$108.62	$163.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $64.62	Facility		$60.96	$60.96	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $77.54 / $157.71	Professional		$54.93	$77.54	$157.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $64.62 / $136.13	Facility		$8.81	$64.62	$136.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $78.19 / $96.37	Facility		$61.39	$78.19	$96.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $78.19 / $96.37	Professional		$61.39	$78.19	$96.37
United Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $64.62 / $81.09	Professional		$63.58	$64.62	$81.09