Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.37 / $126.37 / $128.47	Facility		$126.37	$126.37	$128.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $126.37 / $152.21	Professional		$100.55	$126.37	$152.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $138.13 / $173.74	Professional		$128.12	$138.13	$173.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $154.32 / $314.81	Professional		$154.32	$154.32	$314.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $750.00	Facility		$148.80	$148.80	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $166.09 / $299.00	Professional		$111.09	$166.09	$299.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $157.94 / $250.26	Professional		$126.35	$157.94	$250.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.24 / $174.00 / $237.64	Facility		$122.24	$174.00	$237.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $65.00 / $224.62	Professional		$48.00	$65.00	$224.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $127.13 / $227.82	Facility		$44.80	$127.13	$227.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $165.65 / $267.83	Professional		$51.26	$165.65	$267.83
United Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $136.34 / $234.76	Professional		$103.55	$136.34	$234.76