Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $55.65 / $55.65	Facility		$53.00	$55.65	$55.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $55.65	Professional		$53.00	$53.00	$55.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $159.25 / $212.56	Professional		$159.25	$159.25	$212.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $159.25 / $391.17	Professional		$159.25	$159.25	$391.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $53.00	Facility		$50.00	$50.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $53.00 / $1,058.02	Professional		$45.05	$53.00	$1,058.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $55.65 / $111.61	Facility		$53.00	$55.65	$111.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $307.51 / $710.35	Professional		$112.00	$307.51	$710.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $208.94 / $394.76	Facility		$174.12	$208.94	$394.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $174.12 / $208.94 / $394.76	Professional		$174.12	$208.94	$394.76
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $66.52	Professional		$53.00	$53.00	$66.52