Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $53.25 / $53.25	Facility		$50.72	$53.25	$53.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $53.25	Professional		$50.72	$50.72	$53.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $67.98	Professional		$50.72	$50.72	$67.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $97.75 / $97.75	Professional		$97.75	$97.75	$97.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $47.84 / $50.71	Facility		$47.84	$47.84	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Professional		$50.71	$50.71	$50.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $50.72 / $113.05	Professional		$43.11	$50.72	$113.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $53.25 / $92.82	Facility		$50.72	$53.25	$92.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $77.77 / $121.01	Professional		$52.00	$77.77	$121.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.83 / $109.25 / $143.75	Facility		$95.83	$109.25	$143.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $109.25 / $143.75	Professional		$95.83	$109.25	$143.75
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $55.78	Professional		$50.72	$50.72	$55.78