Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $84.15 / $167.33	Facility		$71.52	$84.15	$167.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $75.09 / $158.35	Professional		$71.52	$75.09	$158.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $117.50 / $177.31	Professional		$103.25	$117.50	$177.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $67.47 / $71.52	Facility		$67.47	$67.47	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $85.82 / $213.66	Professional		$60.79	$85.82	$213.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $98.43 / $146.58	Facility		$71.52	$98.43	$146.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $86.54 / $105.13	Facility		$67.94	$86.54	$105.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $86.54 / $105.13	Professional		$67.94	$86.54	$105.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $71.52 / $89.76	Professional		$69.37	$71.52	$89.76