Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $48.56 / $48.56	Professional		$45.70	$48.56	$48.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $76.29	Professional		$45.70	$45.70	$76.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $201.39	Professional		$48.56	$48.56	$201.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,261.02 / $1,418.65 / $1,418.65	Professional		$1,261.02	$1,418.65	$1,418.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $57.13 / $88.86	Facility		$48.56	$57.13	$88.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $259.00 / $353.33	Professional		$57.13	$259.00	$353.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $54.27 / $71.13	Facility		$47.42	$54.27	$71.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $54.27 / $71.13	Professional		$47.42	$54.27	$71.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $59.99	Professional		$57.13	$57.13	$59.99