Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $71.91 / $71.91	Facility		$68.48	$71.91	$71.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $71.91	Professional		$68.48	$68.48	$71.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $91.42	Professional		$68.48	$68.48	$91.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.03 / $92.09	Professional		$32.03	$32.03	$92.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $64.61 / $68.48	Facility		$64.61	$64.61	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $58.22 / $68.48	Professional		$56.39	$58.22	$68.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.54 / $115.75	Facility		$60.00	$70.54	$115.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $135.29 / $164.38	Professional		$91.00	$135.29	$164.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $70.20 / $102.74	Facility		$57.00	$70.20	$102.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $70.20 / $102.74	Professional		$57.00	$70.20	$102.74
United Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $68.48 / $71.91	Professional		$67.38	$68.48	$71.91