Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.73 / $58.73 / $234.95	Facility		$58.73	$58.73	$234.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $58.73 / $75.33	Professional		$30.35	$58.73	$75.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $92.79 / $124.37	Professional		$92.79	$92.79	$124.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $54.05 / $54.05	Professional		$54.05	$54.05	$54.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $111.35 / $111.35	Facility		$111.35	$111.35	$111.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $111.17 / $152.03	Professional		$80.77	$111.17	$152.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.73 / $79.27 / $127.31	Facility		$58.73	$79.27	$127.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $146.00 / $222.70	Professional		$62.64	$146.00	$222.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $91.86 / $155.91	Facility		$72.51	$91.86	$155.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $91.86 / $155.91	Professional		$72.51	$91.86	$155.91
United Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $47.40 / $78.45	Professional		$41.60	$47.40	$78.45