Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $49.89 / $54.54	Facility		$49.89	$49.89	$54.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $49.89 / $49.89	Professional		$41.39	$49.89	$49.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $70.91 / $88.64	Professional		$70.91	$70.91	$88.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $47.13	Professional		$34.40	$34.40	$47.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $81.93 / $110.23	Professional		$67.67	$81.93	$110.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $57.37 / $105.06	Facility		$38.85	$57.37	$105.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $108.00 / $183.96	Professional		$43.50	$108.00	$183.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $82.36 / $127.88	Facility		$57.51	$82.36	$127.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $82.36 / $127.88	Professional		$57.51	$82.36	$127.88
United Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $52.73 / $100.27	Professional		$47.12	$52.73	$100.27