Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $115.82 / $619.84	Facility		$57.92	$115.82	$619.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $57.92 / $57.92	Professional		$55.16	$57.92	$57.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $83.18 / $125.52	Professional		$73.09	$83.18	$125.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $52.04 / $55.16	Facility		$52.04	$52.04	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $54.58 / $64.20	Professional		$41.37	$54.58	$64.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $57.92 / $63.71	Facility		$55.16	$57.92	$63.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $55.16 / $77.05	Professional		$13.00	$55.16	$77.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $55.16 / $70.59	Facility		$51.43	$55.16	$70.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $55.16 / $70.59	Professional		$51.43	$55.16	$70.59
United Facility/Professional Facility Modifier Low / Median / High Price $56.11 / $88.42 / $88.42	Facility		$56.11	$88.42	$88.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $58.52	Professional		$22.06	$55.16	$58.52