Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $75.13 / $75.13	Facility		$71.55	$75.13	$75.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $75.13	Professional		$71.55	$71.55	$75.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $95.50	Professional		$71.55	$71.55	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Professional		$16.25	$16.25	$16.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $67.50 / $71.55	Facility		$67.50	$67.50	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $71.55 / $71.80	Professional		$60.82	$71.55	$71.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $71.55 / $114.42	Facility		$62.01	$71.55	$114.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $37.60 / $90.24	Professional		$23.43	$37.60	$90.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $84.43 / $107.33	Facility		$71.55	$84.43	$107.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $84.43 / $107.33	Professional		$71.55	$84.43	$107.33
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $76.34	Professional		$71.55	$71.55	$76.34