Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $65.53 / $65.53	Facility		$62.41	$65.53	$65.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $65.53	Professional		$62.41	$62.41	$65.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $83.30	Professional		$62.41	$62.41	$83.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $82.88 / $110.69	Professional		$82.88	$82.88	$110.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $62.41	Facility		$58.88	$58.88	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Professional		$62.41	$62.41	$62.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $62.41 / $83.43	Professional		$53.05	$62.41	$83.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $65.53 / $105.47	Facility		$62.41	$65.53	$105.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $154.32 / $188.02	Professional		$86.00	$154.32	$188.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $71.77 / $92.63	Facility		$59.81	$71.77	$92.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $71.77 / $92.63	Professional		$59.81	$71.77	$92.63
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $78.31	Professional		$62.41	$62.41	$78.31