Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $79.89 / $79.89	Facility		$76.09	$79.89	$79.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $79.89	Professional		$76.09	$76.09	$79.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $101.99	Professional		$76.09	$76.09	$101.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $177.58 / $177.58	Professional		$177.58	$177.58	$177.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $71.78 / $76.09	Facility		$71.78	$71.78	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $76.09 / $300.31	Professional		$64.68	$76.09	$300.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $79.89 / $146.19	Facility		$76.09	$79.89	$146.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $250.13 / $300.00	Professional		$123.00	$250.13	$300.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $168.42 / $195.37 / $361.08	Facility		$168.42	$195.37	$361.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $195.37 / $361.08	Professional		$168.42	$195.37	$361.08
United Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $142.47 / $300.31	Facility		$142.47	$142.47	$300.31
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $85.22	Professional		$76.09	$76.09	$85.22