Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $69.18 / $69.18	Facility		$65.88	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $69.18	Professional		$65.88	$65.88	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $88.30	Professional		$65.88	$65.88	$88.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $151.72 / $151.72	Professional		$151.72	$151.72	$151.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $65.88	Facility		$62.15	$62.15	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $65.88 / $161.97	Professional		$56.00	$65.88	$161.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $69.18 / $120.56	Facility		$65.88	$69.18	$120.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $113.00 / $113.00	Professional		$65.88	$113.00	$113.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $171.00 / $225.00	Facility		$150.00	$171.00	$225.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $171.00 / $225.00	Professional		$150.00	$171.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $82.68	Professional		$65.88	$65.88	$82.68