Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $73.06 / $76.02	Facility		$73.06	$73.06	$76.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $72.78 / $76.02	Professional		$61.84	$72.78	$76.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $78.38 / $108.03	Professional		$61.59	$78.38	$108.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $100.00 / $127.00	Professional		$90.00	$100.00	$127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $90.85 / $111.33	Professional		$75.70	$90.85	$111.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $82.61 / $146.72	Facility		$56.70	$82.61	$146.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $140.00 / $181.58	Professional		$75.00	$140.00	$181.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $112.75 / $234.48	Facility		$43.46	$112.75	$234.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $112.75 / $234.48	Professional		$43.46	$112.75	$234.48
United Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $199.28 / $386.54	Professional		$127.15	$199.28	$386.54