Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $45.25 / $45.25	Professional		$42.59	$45.25	$45.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $42.59 / $57.08	Professional		$42.59	$42.59	$57.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.02 / $11.02	Professional		$11.02	$11.02	$11.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,360.22 / $3,780.25 / $3,780.25	Professional		$3,360.22	$3,780.25	$3,780.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $53.24 / $68.92	Facility		$45.25	$53.24	$68.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $53.24 / $53.24	Professional		$34.18	$53.24	$53.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $34.18 / $44.97	Facility		$29.98	$34.18	$44.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $34.18 / $44.97	Professional		$29.98	$34.18	$44.97
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $48.78	Professional		$44.36	$44.36	$48.78