Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.37 / $110.37 / $111.82	Facility		$110.37	$110.37	$111.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $110.37 / $134.22	Professional		$88.14	$110.37	$134.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $216.61 / $251.45	Professional		$109.73	$216.61	$251.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $189.50 / $386.58	Professional		$186.21	$189.50	$386.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $750.00	Facility		$130.11	$130.11	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $153.38 / $324.70	Professional		$95.81	$153.38	$324.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $132.26 / $209.10	Professional		$106.52	$132.26	$209.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $160.09 / $312.51	Facility		$108.10	$160.09	$312.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $74.00 / $318.00	Professional		$53.00	$74.00	$318.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $108.19 / $264.26	Facility		$50.93	$108.19	$264.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $151.94 / $309.38	Professional		$58.81	$151.94	$309.38
United Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $179.57 / $384.47	Professional		$87.84	$179.57	$384.47