Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $79.58 / $79.58	Facility		$75.79	$79.58	$79.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $79.58	Professional		$75.79	$75.79	$79.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.79 / $614.79 / $820.63	Professional		$614.79	$614.79	$820.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $31.91 / $346.80	Professional		$31.91	$31.91	$346.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $71.50 / $75.79	Facility		$71.50	$71.50	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $75.79 / $1,029.51	Professional		$64.42	$75.79	$1,029.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $79.58 / $145.63	Facility		$75.79	$79.58	$145.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $829.00 / $1,129.80	Professional		$161.00	$829.00	$1,129.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $608.57 / $1,171.64	Facility		$31.54	$608.57	$1,171.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $608.57 / $1,171.64	Professional		$31.54	$608.57	$1,171.64
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $95.12	Professional		$75.79	$75.79	$95.12