Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.66 / $153.66 / $153.97	Facility		$153.66	$153.66	$153.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $153.66 / $163.28	Professional		$131.54	$153.66	$163.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $151.05 / $201.36	Professional		$129.05	$151.05	$201.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $493.75	Professional		$177.56	$177.56	$493.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $178.55 / $750.00	Facility		$178.55	$178.55	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $214.89 / $358.40	Professional		$128.94	$214.89	$358.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $183.30 / $224.84	Professional		$152.75	$183.30	$224.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $207.18 / $291.89	Facility		$143.40	$207.18	$291.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $102.00 / $241.56	Professional		$77.00	$102.00	$241.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.83 / $146.30 / $279.68	Facility		$69.83	$146.30	$279.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $198.06 / $320.49	Professional		$78.98	$198.06	$320.49
United Facility/Professional Professional Modifier Low / Median / High Price $119.66 / $187.52 / $301.57	Professional		$119.66	$187.52	$301.57