Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $93.44 / $608.82	Facility		$42.69	$93.44	$608.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $45.32	Professional		$40.65	$40.65	$45.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $54.12	Professional		$40.65	$40.65	$54.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $57.17	Professional		$40.65	$41.20	$57.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $40.65 / $51.20	Professional		$34.54	$40.65	$51.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $45.25 / $72.15	Facility		$40.65	$45.25	$72.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $58.00 / $101.18	Professional		$42.00	$58.00	$101.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $48.78 / $60.98	Facility		$40.65	$48.78	$60.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $48.78 / $60.98	Professional		$40.65	$48.78	$60.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $47.74	Professional		$40.65	$40.65	$47.74