Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $234.60 / $506.74	Facility		$65.81	$234.60	$506.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $65.81 / $234.60	Professional		$47.33	$65.81	$234.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $96.06	Professional		$57.66	$57.66	$96.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $85.00	Facility		$57.66	$57.66	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $63.66 / $102.41	Professional		$50.93	$63.66	$102.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $125.06 / $276.00	Facility		$56.40	$125.06	$276.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $93.94 / $125.78	Professional		$59.05	$93.94	$125.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $956.80 / $956.80 / $956.80	Facility		$956.80	$956.80	$956.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $956.80 / $956.80 / $956.80	Professional		$956.80	$956.80	$956.80
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $292.56 / $309.12	Professional		$276.00	$292.56	$309.12