Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $97.20 / $182.86	Facility		$97.20	$97.20	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $108.92 / $182.86	Professional		$97.20	$108.92	$182.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $70.70	Professional		$57.50	$57.50	$70.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $147.54	Professional		$50.00	$50.00	$147.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $37.50 / $37.50	Facility		$19.53	$37.50	$37.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $168.00 / $168.00	Professional		$153.00	$168.00	$168.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $148.04 / $206.63	Facility		$97.20	$148.04	$206.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $49.75 / $73.16	Facility		$34.83	$49.75	$73.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $49.75 / $73.16	Professional		$34.83	$49.75	$73.16