Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $112.14 / $254.57	Facility		$57.51	$112.14	$254.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $63.26	Professional		$57.51	$57.51	$63.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $77.08	Professional		$57.51	$57.51	$77.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $57.51	Professional		$53.40	$53.40	$57.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $57.51	Facility		$54.25	$54.25	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $57.51 / $72.75	Professional		$48.88	$57.51	$72.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $57.51 / $86.27	Facility		$4.84	$57.51	$86.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $56.00 / $75.31	Professional		$12.00	$56.00	$75.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $69.01 / $86.27	Facility		$57.51	$69.01	$86.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $69.01 / $86.27	Professional		$57.51	$69.01	$86.27
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $61.02	Professional		$57.51	$57.51	$61.02