Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.17 / $112.17 / $117.85	Facility		$112.17	$112.17	$117.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $112.17 / $178.26	Professional		$95.61	$112.17	$178.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $119.19 / $201.50	Professional		$93.20	$119.19	$201.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $139.04 / $304.67	Professional		$109.48	$139.04	$304.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $157.01 / $750.00	Facility		$100.66	$157.01	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $122.38 / $208.42	Professional		$73.41	$122.38	$208.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $106.47 / $128.51	Professional		$87.14	$106.47	$128.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $135.63 / $250.97	Facility		$97.92	$135.63	$250.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $94.00 / $201.00	Professional		$68.00	$94.00	$201.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $85.25 / $170.13	Facility		$49.38	$85.25	$170.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $114.77 / $203.95	Professional		$54.40	$114.77	$203.95
United Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $167.27 / $304.80	Professional		$95.51	$167.27	$304.80